As we age, we lose volume and collagen. The face can start to look flatter, more hollow or simply more tired. Two of the most effective ways to restore it are hyaluronic acid filler and Sculptra, but they work in very different ways.
How hyaluronic acid filler works
Fillers like Restylane and Juvéderm are smooth gels made from hyaluronic acid, a sugar your skin already produces. They add volume exactly where they are placed, and the results are visible straight away.
Filler is ideal for:
- Lips
- Defining the chin and jawline
- Under-eye hollows
- Smile lines and marionette lines
- Targeted, precise volume
Results typically last 6 to 18 months, depending on the product and the area. Hyaluronic acid filler can also be dissolved if needed, which many first-timers find reassuring.
How Sculptra works
Sculptra is a biostimulator. Instead of filling space directly, it contains poly-L-lactic acid, which prompts your body to build its own collagen over the following weeks and months.
Sculptra is ideal for:
- Overall facial volume loss
- Hollow temples and sunken cheeks
- Deeper folds
- Skin quality and firmness
- Proactive, preventative aging
Because it works with your body, results appear gradually over a few months and can last up to about two years. It is usually done as a short series of treatments.
Side by side
| Hyaluronic acid filler | Sculptra | |
|---|---|---|
| How it works | Adds volume directly | Stimulates your own collagen |
| Results | Immediate | Gradual, over months |
| Lasts | Typically 6 to 18 months | Up to about two years |
| Best for | Precise shape and definition | Overall volume and skin quality |
| Sessions | Usually one | Often a short series |
| Reversible | Can be dissolved | Not dissolvable |
What about Radiesse?
Radiesse sits between the two. It gives some immediate structure and also stimulates collagen and elastin. It is a beautiful option for contouring the jawline and cheeks.
Can you use both?
Absolutely, and many of our patients do. Sculptra rebuilds the foundation across the face, while hyaluronic acid filler adds precise definition where it is needed. Pairing them can give a natural, balanced result that neither achieves alone.
How to choose
- Want results for an event next month? Filler.
- Want a subtle, gradual change that no one can quite put their finger on? Sculptra.
- Want lip shape or a sharper jawline? Filler.
- Noticing overall thinning and hollowing? Sculptra, often with a little filler.
At your consultation, we look at your face as a whole and recommend the right combination. Explore all of our options on the injectables page.
Frequently asked questions
Does Sculptra look natural?
Yes. Because it rebuilds your own collagen gradually, results look naturally refreshed.
Is there downtime?
Both usually have minimal downtime. Swelling and bruising are possible for a few days.
Is Sculptra good for younger patients?
It can be. Sculptra supports the skin's collagen, which makes it a popular proactive option for patients who want to stay ahead of volume loss.
Not sure if you need volume, collagen or both? We will map it out with you.
Book a consultationThis article is general information, not medical advice. Every face and skin type is different, so the right treatment for you is decided at an in-person consultation. Individual results vary.