Botox - Anyone done it?

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I am losing volume in my face and have been getting different opinions. I went to my dermatologist for an opinion (Voluma), a med spa recommended by a friend (Voluma and Juvederm Ultra) and yesterday an MD who does the injections (not a PS) and she recommended Sculptra. She said she could do Voluma but she thought Sculptra would give me a better look (once the sessions are complete). Any thoughts, experiences?

Voluma lasts about 2 years and in my experience it gives a stiffer look. I had them in my cheekbones but I feel that they feel and look much stiffer and less natural as compared to other fillers I've used in the past. Not sure about Sculptra though.
 
Sadly....I did go to a board certified plastic surgeon....specifically for that reason. I was willing to pay more to not have any problems. The first time I wrote off as possibly getting to know my face structure. I then went on to have several fractal and pixel facials with her that were done very well...as well as some juvederm ultra to very mildly plump lips. The facials and juverderm were done well. BUT...this last time when I went in and told her about the droopy eyes last time...she said she would stay higher...which she did on just the one side and then it is like she lost concentration or forgot...and then injected lower on the second side. Very sloppy in my opinion. On top of that...I was supposed to get a touch up on juvederm that day....they ended up being out and she substituted radiesse. When I got home I investigated radiuses and find out it isn't really recommend for lips because it has a higher tendency for lumps in that area (oh...and guess what....she didn't do that evenly this time either - although I think I might be the only one that really notices). Very annoyed. I need to go find another doctor when this round wears off. Unfortunately no one I know gets any of this sort of thing done.....so I don't have any personal recommendations to go by. :/ I'm sure I'll find someone good....just frustrating to have to go through some of these "fails" to get there.
Michellynn71 - what a nightmare for you! I guess just like any other profession, there are those who are talented and those who aren't. Too bad you have to use the trial and error method though. I live near Minneapolis/St Paul. There's a monthly mag that yearly lists top docs (voted by medical professionals). Perhaps you could ask your GP for a reference too. I've gotten great inside info from my doc's nurses - I talk to them when they're taking my blood pressure pre-exam.
Good luck!
 
Sculptra is more natural imo, it won't give you the instant gratification like juvederm and the likes but over a period of weeks your face will build its own collagen. This is why you start with one or two vials then wait about 5 weeks so the injector can see if more is needed.

Every filler has different effects on people, some can get juvederm or voluma and it will last 2 years, others only see it last 6 months, lifestyle, facial expressions or how your body adapts to them and breaks them down over time is different for everyone
 
Sculptra is more natural imo, it won't give you the instant gratification like juvederm and the likes but over a period of weeks your face will build its own collagen. This is why you start with one or two vials then wait about 5 weeks so the injector can see if more is needed.

Every filler has different effects on people, some can get juvederm or voluma and it will last 2 years, others only see it last 6 months, lifestyle, facial expressions or how your body adapts to them and breaks them down over time is different for everyone
AAdams, I wish there was an inexpensive test to see how one's body responds to each filler. I was so disappointed when my filler lasted a half life. Of course there's no refund (half life=half refund) bc the injector has no idea how my body will respond either. But it's the patient who is taking the financial gamble.
 
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AAdams, I wish there was an inexpensive test to see how one's body responds to each filler. I was so disappointed when my filler lasted a half life. Of course there's no refund (half life=half refund) bc the injector has no idea how my body will respond either. But it's the patient who is taking the financial gamble.

You are so right, I have tried all of the above and for the most part they all lasted about a year, which is why I still prefer the sculptra as it seemed to give my face a more natural fullness without the "I had something done look" I have always had a slender face and running and working out over the years didn't help the cause. Sculptra definitely helped and is what I go back to when I feel it's time.
 
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You are so right, I have tried all of the above and for the most part they all lasted about a year, which is why I still prefer the sculptra as it seemed to give my face a more natural fullness without the "I had something done look" I have always had a slender face and running and working out over the years didn't help the cause. Sculptra definitely helped and is what I go back to when I feel it's time.
AAdams, Have you tried Voluma? Another poster, Peonyandi, said it's supposed to last 2 yrs.
 
I did and didn't think it lived up to the hype, it's more expensive as well. I even mentioned this to the RN who advised me to try it.
Good to know. My injector recommended it to me as well, citing its longevity. I resisted bc this was my first filler experience with her - 2 yrs would have been a long time if she wasn't a good injector!

Wold you be willing to extrapolate on "didn't live up to its hype?" TIA
 
Good to know. My injector recommended it to me as well, citing its longevity. I resisted bc this was my first filler experience with her - 2 yrs would have been a long time if she wasn't a good injector!

Wold you be willing to extrapolate on "didn't live up to its hype?" TIA

It claims to even more uplifting in the cheek lower jowel area. I personally did not see a difference and even it it was there, I couldn't justify the price difference. Also this is coming from someone who had already tried
Juvederm ultra, Sculptra and even Radiesse. But you did make a good point about being your first time and being cautious. See how the regular juvederm works. Go to the website Realself.com and read reviews on all
Of them. You are always going to find negative reviews on all of them because it's a risk no matter how skilled the person is doing this. Just do your research
 
It claims to even more uplifting in the cheek lower jowel area. I personally did not see a difference and even it it was there, I couldn't justify the price difference. Also this is coming from someone who had already tried
Juvederm ultra, Sculptra and even Radiesse. But you did make a good point about being your first time and being cautious. See how the regular juvederm works. Go to the website Realself.com and read reviews on all
Of them. You are always going to find negative reviews on all of them because it's a risk no matter how skilled the person is doing this. Just do your research

Have you considered fat graft? I like how it's your own tissue they are injecting and that it can last as long as your own fat if it takes. However it seems much harder to predict than filler since you don't know if the fat will survive.
 
Have you considered fat graft? I like how it's your own tissue they are injecting and that it can last as long as your own fat if it takes. However it seems much harder to predict than filler since you don't know if the fat will survive.

I have read so many mixed reviews on that, enough to say no thanks, it's not worth the risk. My face isn't that bad.
 
Sculptra is more natural imo, it won't give you the instant gratification like juvederm and the likes but over a period of weeks your face will build its own collagen. This is why you start with one or two vials then wait about 5 weeks so the injector can see if more is needed.

Every filler has different effects on people, some can get juvederm or voluma and it will last 2 years, others only see it last 6 months, lifestyle, facial expressions or how your body adapts to them and breaks them down over time is different for everyone

Thank you, this is great information. One concern I had with Sculptra was the massage requirement. The person recommending it didnt mention massage to me but I read that massage is required. I could totally see myself getting busy and forgetting about that part of it. She did mention bruising as a possibility.

I wonder if providers are hesitant to recommend Sculptra because it doesn't have the instant gratification aspect.
 
So I'm 8 weeks out from my initial injections...and its starting to wear off. I have a high metabolism, and this has happened every time. I guess I am just going to have to come to terms with the fact i have to go every 2 months instead of 12 weeks :(
 
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