Q. I have a slight droop to my mouth and I am fed up of people telling me I look miserable. My dermatologist did do the botox/Juvederm on the sides two years ago, but it made no difference. I thought Sculptra in the cheeks would lift the area and give me more cheek definition, which I have always wanted. I had juved in the eye trough area two years ago, and only now has the puffiness started to go away. It looked like a banana for two years under my left eye, so a bit worried about Sculptra. Thanks!
A. It appears you may have lost weight as I visualize skin descent with folds at the nasojugal, nasolabial, lateral commissure/ marionette junctions and a flat appearing cheek.
Sculptra has worked well in my hands as a skin “firmer” stimulating collagen formation and shrinking of the skin primarily and filling secondarily. This would not be my first choice recommendation based on the limitation of these photos.
Hyaluronic acid fillers such as Voluma, Juvederm Ultra plus and Perlane are gel fillers I use in the cheeks for volumizing and greater projection. They replace the volume lost in the cheeks and “lift” by filling the flatter cheeks. This might be a better option for you.
All injectibles are art and science, like medicine in general. Choose your artist / scientist carefully who fully understands his canvas/patient and is well experienced and Board Certified in Plastic Surgery or ENT Facial Surgery with a full understanding of all the techniques available to reduce the side-effects you mention.
I hope this is helpful. All the best! Would Sculptra in the cheeks lift the area and give me more cheek definition?
Q. I have a slight droop to my mouth and I am fed up of people telling me I look miserable. My dermatologist did do the botox/Juvederm on the sides two years ago, but it made no difference. I thought Sculptra in the cheeks would lift the area and give me more cheek definition, which I have always wanted. I had juved in the eye trough area two years ago, and only now has the puffiness started to go away. It looked like a banana for two years under my left eye, so a bit worried about Sculptra. Thanks!
A. It appears you may have lost weight as I visualize skin descent with folds at the nasojugal, nasolabial, lateral commissure/ marionette junctions and a flat appearing cheek.
Sculptra has worked well in my hands as a skin “firmer” stimulating collagen formation and shrinking of the skin primarily and filling secondarily. This would not be my first choice recommendation based on the limitation of these photos.
Hyaluronic acid fillers such as Voluma, Juvederm Ultra plus and Perlane are gel fillers I use in the cheeks for volumizing and greater projection. They replace the volume lost in the cheeks and “lift” by filling the flatter cheeks. This might be a better option for you.
All injectibles are art and science, like medicine in general. Choose your artist / scientist carefully who fully understands his canvas/patient and is well experienced and Board Certified in Plastic Surgery or ENT Facial Surgery with a full understanding of all the techniques available to reduce the side-effects you mention.
I hope this is helpful. All the best! 
