Already Used Sculptra. Can I Use Another Filler in Same Area?

If you have had sculptra, it is not uncommon to have a filler injected into the same area.  Fillers such as Juvederm and Radiesse can be used in different places and layers to further enhance areas such as the cheeks or nasolabial folds.   A consultation with your surgeon would be your best option and he/she will be able to help you decide.  

It is not a problem to combine fillers.  Sculptra is the longest lasting, but results are gradual  in onset.  If  you desire immediate correction you could use either,  Hyaluronic acid fillers or Radiesse. The Radiesse will give you greater longevity then the Hyaluronic acid fillers.

It is common for physicians to insert one filler at one level, and layer on top a more superficial filler. It also is not unusual to have multiple fillers placed in different locations on the same day.

There are no contraindications to using different fillers at different depths.  Sculptra is more of a gradual volume inducing agent and the recommended technique is a deeper injection onto the facial skeleton.  Hyaluronic acid fillers (Juvederm and Restylane) and Radiesse are usually injected subdermally and give an immediate result; the result with Sculptra evolves over three weeks or so and multiple injection sessions spaced over time are usually necessary.

I often combine Sculptra with other fillers.  Restylane or Juvederm may give you an immediate lift in a given area.  Sculptra is more gradual and needs several treatments at least a month apart but will last up to two years.  I love to combine different injectables for the best cosmetic results.  Often I use a little Boletero around the lip lines and under the eyes since these fine lines need correction as well.  Please let me know how your results last.

I often have patients that want something for long term, like sculptra, but need a quick fix for a reunion or special event. I will use HA filler or Radiesse and later use sculptra. I have also mixed in oppossite direction. Have noted no problems. 

You can layer a variety of fillers but the appropriate question is which filler is most appropriate. Sculptra provides a good deep volume and other fillers that can be used more superficially in wrinkles can be used on top of it.  Discuss with your surgeon what your goals are and this can help achieve a very successful treatment plan.

Each dermal filler has unique properties and benefits.  There is no contraindication for using two fillers together.  Usually the biostimulatory filler is placed deeper than hyaluronic acid fillers.

I would suggest that if you already have one biostimulatory filler like Sculptra, the more superficial injections in the same place be done with a hyaluronic acid filler.

If you are having injections in a different area of your face then either Radiesse (provided it is not a place of high mobility) or hyaluronic acid fillers can be used.

You are definitely able to use fillers in combination.  In fact to achieve optimal result for certain patients, it is sometimes necessary to layer products.  I would recommend you consulting the physician who performed the initial Sculptra injection for an evaluation.  They can help assess which filler will be best for the areas you now want to correct and if Sculptra is the optimal "filler" you will be in the hands of a trained injector.

You absolutely can get different fillers in different areas. The undereye region is my favorite place to inject Belotero. Its just smooth enough to raise the tear troughs and make the skin look brighter. We don't use Sculptra or Radiesse nor Voluma in this area. When you  are ready to invest in your appearance with fillers, you can see some amazing results with the right products applied in the right places.