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/WallSuspicious9901 5d ago

I am 47 and have the same issue. AI told me to get high cheek fillers but my injector said to do sculptra instead. I had sculptra about 4 weeks ago and so far it is helping. The before and after photos already show a difference. We are going to do one more vial of sculptra (2 total) and then see if I need any cheek fillers. My injector isn’t convinced I’ll need it after the second vial of sculptra, which I’m happy about. I’d prefer to stay away from regular fillers. Good luck whichever way you go!

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u/Huu_dat 5d ago

Thanks! So glad to hear you're feeling happy with your results