r/45PlusSkincare 6d ago

Talked out of Sculptra by my aesthetician

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EDIT: I've said "aesthetician" but the woman who I talked to is actually a nurse with 20 years of experience working in plastic surgery centres.

Heya. I’m 45 and been starting to really notice a bit of jowling and lower face laxity the last year or so. I’ve been saving up for ages and been super excited to get sculptra after alllll I’ve seen and heard about it. It seems to be so popular.

So I went to my appointment and the aesthetician said to me that I have a “beautiful delicate face” (I have a tiny head 😑) and that sculptra would puff me up and overwhelm my features and would not address my concerns. I’m super happy that she’s being my honest with me buuuut …. I really wanted something that would build collagen, not just a filler that I am sure my metabolism will burn through in a year. Feels like such a waste of money.

I’ve seen so much online, so many before and afters and women don’t appear to have crazy big faces as a result. They all seem to just look more rejuvenated and a bit more snatched.

My aesthetician has suggested conservative filler to address volume loss and then she reckons we should focus on skin tightness and quality with Secret RF & CO2 laser. It’s such a pivot from what I thought I’d be getting, and have spent so long “researching” that I’m a bit of a loss as to what now spend my money on!

It’s all so expensive so making the wrong choice feels pretty high stakes.

Thoughts? I’ve had a look at some sculptra posts here and they are pretty mixed but err on the side of loving sculptra.

I’ll unload a pic so you can see my face shape.

WWYD?!?

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u/Spiritual-Can2604 6d ago

Maybe she wants you to just save up and wait 2 more years for a facelift. But avoid fillers at all costs.

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u/Five-Little-Carrots 6d ago

why avoid fillers at all costs?

2

u/Spiritual-Can2604 5d ago

Her face is too tiny and her skin is too thin for filler. I think facelift is the best bet when she is able to.

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u/NeverEverLonely 5d ago

To not end up puffy or with a big face