Which should I go with for butt injections: Sculptra or AestheFill?

Question

I've never heard of AestheFill, but it's offered for cheaper than Sculptra at my med spa of interest. Would it be safer to chose the more comfortably known Sculptra? Is anyone even familiar with AestheFill?

Ryan A. Stanton, MD · Answer

I have unfortunately had many patients come to me after having their high hopes for buttock/hip augmentation crushed by measly Sculptra results or other "fillers" such as Radiesse, Renuva and Juvederm, etc. Other than the fact that these are not FDA approved for buttock/hip injections, here are some critical points of awareness: 1) they all are temporary, lasting 1.5 - 2 years at very most, 2) if done correctly dermal fillers like Sculptra ir Renuva are cost prohibitive for 99% of potential buttock/hip augmentation patients. In order to create a significant/noticeable result with a dermal filler, at least 200 mls of active product (not just “total ccs of fluid injected” of which contains mostly saline not Sculptra) must be injected into each buttock cheek for a total of 400 mls. At $1000 per ml, this equates to a minimum price of $400,000.00. Thus if your doctor is recommending to put in ONLY 20 or 40 mls of these fillers you will pay $20,000-$40,000 and get an insignificant miniscule result! (eg. like a “drop in the ocean” effect), 3) Do not let anybody tell you that the product is so special that it's going to magically grow over the following months or years...this just doesnt happen to any noticeable degree!, 4) dermal fillers, when injected in large quantities, have a relatively high infection rate, guaranteed tendency to migrate away from the original area they were injected into, and almost always stimulate a lot of inflammation with a subsequent and disastrous amount of scar tissue/hardening, and 5) the one very serious complication that can rarely ( less than 1%) happen is "embolism" in which some of the filler gets into the blood stream and travels up into the lungs, heart, and/or brain causing serious problems, including death.

As well, fat transfer to the hip dips, especially on lean patients, has a poor survival rate and thus often slighted results.

The only relatively safe, reliable, and permanent option for buttock and hip dip augmentation is with implants.

Hope this all helps you make a better informed decision and saves you a lot of your otherwise hard earned money.

Integrative Health and Aesthetics Schenectady Glenville, NY · Answer

Aesthefill is not approved by the FDA in the United States.
Sculptra is FDA approved for the face, however it is often used 'off-label' for other areas such as buttocks. Our practice in NY uses Sculptra for non-surgical BBLs with excellent results.

Kristine Brecht, MD (license suspended) · Answer

Dear BBL dreamer,
The gold standard filler for your BBL would be fat.
Fat will give you more volume, give a more realistic feel, last longer and cost less.
In one treatment you will get it all done. Occasionally, patients of mine will get a second treatment for more exaggerated curves.
Choose an expert!
Best. DrBrecht 
Seattle, Wa

Which should I go with for butt injections: Sculptra or AestheFill?

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Which should I go with for butt injections: Sculptra or AestheFill?

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Recommended reading

Everything you need to know about Nonsurgical Butt Lift

Our mission is to create a world where every investment in modern beauty is Worth It.