Will Ultherapy of the Mid-face Effect the Sculptra I Had Placed into my Hollow Cheeks?

Question

Babak Azizzadeh, MD, FACS · Answer

No, Ultherapy does not affect the results of Sculptra. In fact, I like to combine the two treatments. I call it SCULPThera. When Ulthera and Sculptra are used together, the results are truly enhanced due to multi-layer stimulation. Both the Sculptra and Ulthera treatments can be performed during the same appointment and require minimal recovery time.

Mark Beaty, MD · Answer

I recommend not having Ulthera treatment over recently placed fillers. It is unclear whether there is an effect but the concern is that the ultrasound energy may degrade previously placed fillers. Sculptra may be less likely to have problems because it works by stimulating collagen production but these studies are still being done. I frequently use fillers and Ulthera on the same day but always perform the Ulthera treatment first.

Misbah Khan MD, FAAD, FACMS · Answer

the jury is still out there. I would recommend skin tightenign procedures before you do the fillers as we dont know exactly how it will effect the fillers. however, I would suggest that you get a consultation form your doctor who placed the Sculptra filler for further care

Ron Shelton, MD · Answer

There is no evidence that there is a negative effect of the Ultherapy on the Sculptra but we also don't yet have information that there isn't! Studies may be ongoing currently in regards to fillers and their stability and longevity after Ultherapy treatment, but until we have that data, we are recommending that Ultherapy be done prior to the fillers.

Hratch Karamanoukian, MD, FACS · Answer

There are some clinical studies (small ones) that have shown a combined additive advantage of Ultherapy and Sculptra, coining the term 'Sculptherapy'. I generally combine procedures but place the filler after HIFU energy is delivered. Read the Ultherapy ebook on the link below - go to ebook section.

Daniel Shapiro, MD · Answer

Thank you for your question. Generally, it is advised to receive fillers after Ultherapy, as the treatment could possibly affect them. However, studies have not yet been published confirming this belief. Therefore, your Sculptra treatment could possibly be unaffected by Ultherapy.

Edwin Ishoo, MD · Answer

There are currently several studies following different protocols of potential additive effects of Ultherapy with Sculptra as both aim to stimulate collagen production. In our practice we find that we do achieve an enhanced result with this combination producing improved mid face and peri-orbital volume and firming of lower face and neck sagging soft tissue. I find that performing at least 2 sculptra injections prior to Ultherapy is most effective in stimulating maximal volume enhancement with the third or additional sculptra injections 8-12 weeks after Ultherapy. The above is anecdotal and based soley on my experience. The most important factor is careful initial assessment to determine the appropriateness of patients for this procedure.

E. Ronald Finger, MD · Answer

I would not recommend Ultherapy over any filler until the combined use has been studied. No one really knows what it does to fillers, and it is not recommended by the company. Sculptra especially may be susceptable to adverse effects in the long run since it functions by stimulating collagen production. If you want them both, do the Ultherapy first.

Elizabeth F. Rostan, MD · Answer

Ultherapy will not adversely affect your sculptra in fact they are a nice combination as the ultherapy tightens the skin and the sculptra helps restore volume and natural contour to the face. Just today I treated a woman with full facial sculptra and then immediately after did ultherapy. This combination is very nice becasue the sculptra is mixed with lidocaine which makes the face numb so the ultherapy is completely painless. I do not recommend Ultherapy over fillers that can be subject to heat destruction such as the hyaluronic fillers such as Restylane or juvederm but sculptra is unique in being a small particle filler that induces collagen renewal and growth over time.

Tal T. Roudner, MD, FACS · Answer

I would recommend to avoid any treatments over areas treated with fillers with Ultherapy. We are not sure if they can affect the fillers and the company recommends to avoid treating those areas !!!

	 

	Good Luck!

Will Ultherapy of the Mid-face Effect the Sculptra I Had Placed into my Hollow Cheeks?

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