I’m in my mid forties – which is better Juvederm or Sculptra?

Hi Dr. Irwin, I've recently seen Dr. Joel Cohen in Colorado, hoping he would okay the use of Sculptra for me (I would prefer to only need touch-ups once a year), but he won't use Sculptra on me and wants to use Juvederm/Perlane instead. I'm in my mid-forties, with faint lines around the mouth (naso-labial) and beginnings of folds in that area, as well as some fat loss just under the eyes/front cheek area and under the mouth on either side of my chin. He said during my visit that my issues are very mild and don't need much correction. His reason for not wanting to use Sculptra is that it's for volume loss and not for the depressions in the areas that I want to fill out. Based on what I've told you, do you agree with him?

I would trust Dr. Cohen’s opinion.   Sculptra is not a “line filler,” it is a volumizer.  Some 40 year olds need volume but many don’t.    If changes are mild, 1-2 syringes of Juvederm are more cost effective also.  It is almost always best to start with fillers with something reversible like the Restylane/Juvederm in case you don’t like the effect.  Dr. I

Dr. Brandith Irwin, MD

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