Facial Fillers New York City
New York City, NY – This is a filler update from the Fall AAFPRS meeting, where there was a big push from the new fillers on the block. Though Sculptra has been around for years to treat facial wasting, it was recently FDA-approved for cosmetic use to treat “shallow to deep smile lines (nasolabial fold), contour deficiencies and other facial wrinkles.” However, many of us facial plastic surgeons have already been using it for years as “off label” for cosmetic treatment of the face.
Over the past decade, we have taken a new look at facial aging. Faces don’t just droop and get wrinkles, often they lose volume. Dr. Sydney Coleman was one of the first doctors to disseminate that concept, and treated facial volume loss with fat liposculpture, which was a powerful adjunct to treating facial aging. Some patients really don’t need facelifts, and others need both volume replacement and lifting. Until Sculptra – as well as some of the other longer lasting fillers such as Radiesse, Perlane and Juvederm Ultra Plus – fat was the best option. However, fat rejuvenation is a surgical procedure that comes with prolonged healing and downtime, and some patients only retain 60 to 80% of the injected fat on average, so results are often unpredictable. And to inject more fat requires another semi-major procedure. You might also be one of the rare patients in whom 100% of the fat lasts, resulting in an over-filled face.
Alternatively, Sculptra, a non-invasive injectable, can treat volume loss precisely and effectively in just two to three treatments… no operating room, sedation or significant recovery required.
Results typically last two or more years.
Why Sculptra instead of other fillers? This is really a choice to be decided upon between physician and patient. As I mentioned above, Sculptra may require two to three treatments a month apart, lasting an average of two years before it starts to slowly go away. No other fillers last as long. So, do you want to have this “in and out” treatment with little to no down time and maybe a tweak in one and two months, or get treatments every 6 to 9 months with other fillers, which can be costly over time. Though Sculptra is more expensive, it really doesn’t cost more than shorter-lasting fillers when amortized over two years.