Dr.P , Nelson sent me to you to ask this question. Ive been getting Sculptra for the last 3 years, s vials every 4-6 months. Very pleased with the results, but it dissipates quickly. The MD in Houston is recommending that Radiesse might last longer and wants to try that. Id also consider the silicone mictrodroplets. Im looking for a longer lasting result than what Im gettin now. Any recommendation as to which product, trying the Radiesse or going for the Silicone Microdroplet next? Im hearing the Radiesse can come out looking lumpy. Thanks for your reply.

Hello, and thanks for posting.

In my experience, Radiesse does not have a tendency to come out lumpy, but also does not appear to last as long as Sculptra.

Since you have been having good results with Sculptra but not seeing the durability that you would like, then a permanent filler such as silicone or PMMA may be a consideration.

Silicone micro droplet technique is not performed by very many doctors because of the stigma associated with silicone. However in expert hands, the results are quite good. United States law does not allow marketing of silicone injections, so the doctors that perform this procedure are typically found through word-of-mouth.

PMMA is not currently not available in the United States, but many individuals have traveled to Mexico for expert treatment with Dr. Luis Casavantes.

Hope this helps and best of luck to you!