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Dilemma, sculptra or fillers what to do next?
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helenjean
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Wed Mar 16, 2011 1:49 am      Reply with quote
I have a dilemma on my hands, I had sculptra over 7 weeks ago 2 vials in cheeks, and sides of face, I dont particularly notice much yet, if there is a difference its very subtle.
The only place on my face I would want more lift is in the apple of the cheeks, and am worried that where the sculptra is so subtle it is always going to be difficult to get the exact areas that I want filled filled.
So what to do, will my next sculptra treatment produce the results I want (I dont think I want the total of recomended 5 vials to get results, as its going to take forever)but then if I dont carry it on is that £££ wasted? Or shall I just go straight for the juvederm, for instant lift.
I hated the massaging of the sculptra, and I had a balloon face for 2 weeks after.

Dr rose are you still around to give me your opinion?
Also please all tell me what you think.

helen Question

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Keliu
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Wed Mar 16, 2011 3:06 am      Reply with quote
Well you know that I'm doing the Sculptra thing myself at the moment - I honestly think that it takes a few months to see anything positive. However, if it's your cheeks that you're mainly concerned with, I recommend that you get them filled with something like Restylane SubQ or the thicker Juvederm. Getting the cheeks filled can give a nice lift to the face and give you a perkier look.

BTW, I don't have a problem with the massage because I use a Vaculifter.

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helenjean
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Wed Mar 16, 2011 3:46 am      Reply with quote
thank you keilu i was hopping you would jump on. Very Happy Do you think you can have sculptra and juvi at the same time? (i dont mean same app)

I didnt think you were happy with your sculptra?

I might give them a call today, because I am ment to be calling them this week to book an appointment for my next treatment.
I think my doctor specialises more in sculptra so obviously he will say thats what I should go for,

helen.xxx

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helenjean
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Wed Mar 16, 2011 3:48 am      Reply with quote
Oh forgot to ask you Keliu, I have the vaculift, did you use this instead of your fingers todo all the recommended massaging after or did you use both?

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Keliu
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Wed Mar 16, 2011 4:19 am      Reply with quote
I have Resty SubQ in my cheeks and Sculptra in the lower face. I'm keeping my opinion on the Sculptra open at this point in time. I think it's way to early to see anything, and two vials is probably not enough anyway.

I didn't do any hand massage, I only used the Vaculifter - paying special attention to where I had the injections. I was paranoid about getting lumps, the Vaculifter seemed to be perfect for the job.

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Wed Mar 16, 2011 12:18 pm      Reply with quote
Wouldn't cheek implants be more cost effective in the long run? Simple surgery -- just an incision above your upper teeth, slip them in, sew up the incision.
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Wed Mar 16, 2011 1:48 pm      Reply with quote
Sculptra helps regenerate collagen, while implants just sit there on your face, looking increasingly awkward as time passes.

I am scheduled for Sculptra tomorrow, so we will see.
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Wed Mar 16, 2011 4:28 pm      Reply with quote
Hermosa wrote:
Sculptra helps regenerate collagen, while implants just sit there on your face, looking increasingly awkward as time passes.

I am scheduled for Sculptra tomorrow, so we will see.


Yes, this is the problem with implants - as you age, your face continues to evolve and change - the implants don't. As the years pass by, you could end up with two lumps in your cheeks that look totally unnatural and inappropriate.

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helenjean
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Thu Mar 17, 2011 1:33 am      Reply with quote
yes Im scared of the word implants, I had breast implants for 13 years (taken out 9 years ago) and I was never happy with the round look, so I wouldnt go for anything permanent.

I have now decided that i will have 1 or maybe 2 more sculptra as I have noticed this morning some lift Very Happy I like doing my facial exercises and I think fillers might feel a bit weird with all my cheek pinching. and also I think I have to seeit through other wise I will never know whether its worked.

Thankyou Keliu for your input Very Happy

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Keliu
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Thu Mar 17, 2011 2:32 am      Reply with quote
helenjean wrote:
yes Im scared of the word implants, I had breast implants for 13 years (taken out 9 years ago) and I was never happy with the round look, so I wouldnt go for anything permanent.

I have now decided that i will have 1 or maybe 2 more sculptra as I have noticed this morning some lift Very Happy I like doing my facial exercises and I think fillers might feel a bit weird with all my cheek pinching. and also I think I have to seeit through other wise I will never know whether its worked.

Thankyou Keliu for your input Very Happy


If you are doing facial exercises then I agree that cheek fillers wouldn't be a wise move.

I will probably do one more round of Sculptra. My issue is, with a 61 year old face, how much improvement can I expect to see. I have thought lately though that I don't look quite as drawn or tired, so that might be the effects of the Sculptra doing something positive.

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Thu Mar 17, 2011 5:44 pm      Reply with quote
helenjean wrote:
yes Im scared of the word implants, I had breast implants for 13 years (taken out 9 years ago) and I was never happy with the round look, so I wouldnt go for anything permanent.

I have now decided that i will have 1 or maybe 2 more sculptra as I have noticed this morning some lift Very Happy I like doing my facial exercises and I think fillers might feel a bit weird with all my cheek pinching. and also I think I have to seeit through other wise I will never know whether its worked.

Thankyou Keliu for your input Very Happy




I believe you are getting the best advice from Keliu, she has first hand experience with Sculptra.

Keliu, did you happen to read the technique "tri site bolus" for Restylane injection on DIY? They say it makes the injection last for if I remember correctly 2yrs?! I'm going to ask my PS about that when I go for the Ultherapy.

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Thu Mar 17, 2011 6:16 pm      Reply with quote
rmc7 wrote:
Keliu, did you happen to read the technique "tri site bolus" for Restylane injection on DIY? They say it makes the injection last for if I remember correctly 2yrs?! I'm going to ask my PS about that when I go for the Ultherapy.


No! What is this all about?

ETA: Googled and found this:

http://www.face-2010.com/newsletters/articles/tri-site-bolus-technique-for-a-long-lasting-cheek-and-lower-eyelid-lift-using-deep-large-volume-hyaluronic-acid-injections.html

Sounds like something we need to inform our injectors about.

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rmc7
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Thu Mar 17, 2011 6:29 pm      Reply with quote
Keliu wrote:
rmc7 wrote:
Keliu, did you happen to read the technique "tri site bolus" for Restylane injection on DIY? They say it makes the injection last for if I remember correctly 2yrs?! I'm going to ask my PS about that when I go for the Ultherapy.


No! What is this all about?

ETA: Googled and found this:

http://www.face-2010.com/newsletters/articles/tri-site-bolus-technique-for-a-long-lasting-cheek-and-lower-eyelid-lift-using-deep-large-volume-hyaluronic-acid-injections.html

Sounds like something we need to inform our injectors about.


They have been trying to gather info but the Doctor who invented this method holds a patent on the technique. Apparently the injection itself is done very slowly and this is designed for the cheeks. You should check it out it is very interesting. Unfortunately We are moving into our busy season at work and I miss coming here and going there(my 2 favorite sites!) so I miss so much information. I'll be stopping by when I can. and I'll let you all know about the Ultherapy.

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rmc7
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Thu Mar 17, 2011 6:32 pm      Reply with quote
rmc7 wrote:
Keliu wrote:
rmc7 wrote:
Keliu, did you happen to read the technique "tri site bolus" for Restylane injection on DIY? They say it makes the injection last for if I remember correctly 2yrs?! I'm going to ask my PS about that when I go for the Ultherapy.


No! What is this all about?

ETA: Googled and found this:

http://www.face-2010.com/newsletters/articles/tri-site-bolus-technique-for-a-long-lasting-cheek-and-lower-eyelid-lift-using-deep-large-volume-hyaluronic-acid-injections.html

Sounds like something we need to inform our injectors about.


They have been trying to gather info but the Doctor who invented this method holds a patent on the technique. Apparently the injection itself is done very slowly and this is designed for the cheeks. You should check it out it is very interesting. Unfortunately We are moving into our busy season at work and I miss coming here and going there(my 2 favorite sites!) so I miss so much information. I'll be stopping by when I can. and I'll let you all know about the Ultherapy.


OMG, I'm brain dead! That is it, that is the article. No grass will ever grow under your feet!!!

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Nanci Wyatt
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Thu Mar 17, 2011 10:20 pm      Reply with quote
I've had Sculptra, Juvederm, Restylane, Radiesse-everything you can imagine. What has worked best for me (in the malar area) is to layer different fillers.

Radiesse (several cc's-gets expensive)deep in the upper, outer malar area, and sculptra over it in the midface and below the cheekbone. If the transition to the eyes needs smoothing, then Juve or any other HA is a good choice.

I would love it if this tri bolus turns out to be a viable technique. It would be nice to be able to use the large volume HA instead of Radiesse, mainly because it can be reversed.

Of course, on me nothing lasts anywhere as long as they advertise. Rolling Eyes
Keliu
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Thu Mar 17, 2011 11:22 pm      Reply with quote
Nanci Wyatt wrote:
I've had Sculptra, Juvederm, Restylane, Radiesse-everything you can imagine. What has worked best for me (in the malar area) is to layer different fillers.

Radiesse (several cc's-gets expensive)deep in the upper, outer malar area, and sculptra over it in the midface and below the cheekbone. If the transition to the eyes needs smoothing, then Juve or any other HA is a good choice.

I would love it if this tri bolus turns out to be a viable technique. It would be nice to be able to use the large volume HA instead of Radiesse, mainly because it can be reversed.

Of course, on me nothing lasts anywhere as long as they advertise. Rolling Eyes


Me too!! In fact, I'm only really happy when I've got all the swelling from the procedure - when that goes down I'm instantly disappointed! Rolling Eyes

I've basically had the same as you - Sub-Q in the cheeks and Sculptra from there down. I do wonder whether I should have had Sculptra over the cheeks as well.

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helenjean
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Fri Mar 18, 2011 6:25 am      Reply with quote
I had the subq a year and half ago, it did last but He injected it too high and it always looked too angular, its funny I messaged my dilemma before Id even looked in the mirror that day and lo and behold (if thats the saying?) I definatly see an improvement, so I have decided I am now liking the natural lift in my cheeks that sculptra has given me.
So I am now saving for my next session Smile

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Sun Oct 09, 2011 4:33 am      Reply with quote
I have now started my course of Sculptra and so far so good. I had my first two vials mid August in the cheek area.I had a peel a few weeks ago so am only having my second Sculptra treatment next week. I am due to have 5 vials, but have just started to notice a slight volume increase in the cheek area and a general all over lift effect. It is very subtle at the moment, but just about noticeable.
Also had fillers around mouth area. I think the key to Sculptra is a great injector. The Dr I use in UK is on the Sculptra board and trains other Dr's.

I hope you are seeing improvement now Kelieu!
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Tue Oct 11, 2011 9:44 am      Reply with quote
Wow!! That is a very interesting article.

It sounds very like how my new injector described how he would inject the ''indentations'' across my cheeks? Although he said 2 syringes of perlane should be enough. I can't see how it could be the same though? as this procedure does not look as if it is available in Australia?

I have been putting it off because it is not the classic TT problem. I think I will contact him and see if he has heard of this technique because it sounds exactly what I need!!

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Tue Oct 11, 2011 10:10 am      Reply with quote
Hi, I'm not seeing the article when I click on the link. Question

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Lacy53
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Tue Oct 11, 2011 12:16 pm      Reply with quote
Mars wrote:
Hi, I'm not seeing the article when I click on the link. Question


Try this; it may be the same article:

http://www.clarionmedical.com/uploaded/tiny_mce/File/Teosyal/-%20tri%20iste%20final%20article.pdf

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