Sculptra is an anti-aging facial injection treatment that can give you subtle results over time by replacing lost collagen. Lasers use light composed of many frequencies to penetrate into the skin, non-invasively, to deliver youthful results by stimulating your natural collagen production. Combination therapy is always preferred (laser + filler, ie Sculptra). Both will help give the appearance of tighter skin for areas that are loose and sagging. I recommend scheduling a consultation with a board-certified dermatologist, make sure that the doctor's office is accredited and licensed, ask the doctor about residency training in and experience with Sculptra and Lasers, and ask to see some before and after photos of patients whose skin and wrinkles are similar to yours.