There is more than one approach to your issues. Your fae is fairly full already, so perhaps physicians have been reluctant to add more fullness with Sculptra. If you are goin to have this filler, it might be best to stay peripheral with it, putting some even under the hairline to drape your skin higher on your fCe. But before doing that, you might want to try a few radiofrequency sessions with Pelleve to tighten the skin.
The scarring can be approached with CoolTouch laser and/or microneedling, with topical retinoids.
Sculptra Aesthetic for Sagging
Sculptra Aesthetic is a great
option for sagging skin and nasolabial folds. It helps your body produce more
collagen, which in turn can contribute to a "lifted" appearance. It's
important to remember, however, that the final results of Sculptra Aesthetic
can take around 16 weeks to develop, and they can last for more than 2 years.
Sculptra Aesthetic is excellent for stimulating your cells to produce more
collagen whereas the other fillers immediately replace the volume loss with the
hyaluronic acid. Sculptra has a different learning curve and this is why some
practices simply don’t offer it.
For scarring, I've seen excellent
results with non-ablative lasers, such as the ResurFX and CO2 systems I offer
at my practice. Finally there is no
contraindication to have taken Accutane like medications in the past and doing
laser treatments. We usually wait at
least 6-12 months after completing your medication course though.
Sagging Skin and Acne Scars
Sculptra would be a great treatment for you to give your skin a lift and help look natural. Your scars would best be treated with Fraxel Laser. The 1550 setting of the Fraxel will provide great results after a few treatments and little down time. Thermage could be utilized as well to give your skin tightening and help build up your body's own natural collagen. Please find a board certified dermatologist in your area to give you the best cosmetic results.
Treatment of sagging cheeks and acne scarring
Deeper stimulatory fillers such as Sculptra or
Radiesse, when strategically injected high along the cheekbones and lateral
face, will create a much better lifting effect for sagging skin. For treatment of your acne scars, medical
micro-needling, when properly done and combined with effective skin care
products such as human growth-factor serums, has been shown to give as
good or better results than laser or Fraxel treatments. And at a fraction of
the cost! In my office, we combine motorized micro-needling using
micro-needling machine combined with RejuvaCells growth factor serum and we have been getting excellent results for treatment of acne scars.
You can follow the
video link above to learn more about micro-needling and human growth factor
Sculptra or Voluma are great options for the mid face volume loss that likely has led to your issues. I'd find a Derm or plastics that offers both then get their opinion.
Have you considered skin needling ( micropen) vs fractional laser? We are seeing great results for acne scars - better than with lasers.