Hi and thank you for your question! All treatments you mentioned are great options but I tend to vote for fillers given the ease of their injection and no down time. You indicated that you did not see good results with Voluma. Since you mentioned that you lost 15-20 pounds, the 2 syringes of Voluma might not have been enough. Chances are what you saw initially was mostly the swelling associated with filler and once the swelling was gone, you thought that the filler was gone, but most likely the Voluma is still there and it forms a base for further filler injections, so you didn’t waste anything and you might still see good results with further Voluma injections. Both Bellafill and Sculptra are also good, but I am personally a big fan of Sculptra in patients who have lost weight. Sculptra was initially approved by FDA for volume restoration in HIV/AIDS patients who often suffer from excessive volume loss in face, and when we lose weight, our face undergoes similar changes. If you are patient and can handle the multiple treatments, Sculptra could be a great option. Always ask your physician to document the progress of your treatment with taking several pictures since with Sculptra, changes appear gradually and it is easy to fail to notice then over time. Putting pictures side by side will show you the improvements. I hope it helps and good luck!
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