Is the problem lax facial skin or volume loss with loose skin?
It really depends on what the sagging skin is due to. If the sagging skin is due to weight loss and subsequent facial volume loss, then restoring volume with Sculptra or other fillers such as Perlane or Radiesse or Juvederm can produce very nice results that reverse the appearance of a sunken, hollow, gaunt face. If however, the primary problem is loose skin from loss of elasticity seen for example with extensive sun exposure, then fillers may not produce a satisfactory response. In these instances, a face lift may be a better option.
