Do I need more Sculptra or filler? (photos)

Thank you your photos. It makes me sad that you have to search for answers when ideally your provider should be counseling you and giving you options.The answer to your question will depend on who you ask, their experience and expertise with both.
For instant results, HA fillers will work as long as the right fillers are chosen and injected correctlyFor the most natural and gradual results, Sculptra to smile lines and marionette lines first, about 2 vials after 5 days of massage, you may return for a very subtle lip filler . I recommend Restylane Silk to target those lip lines.
Best, Dr.Anna Avaliani, NYC

Good question. I believe if you want a more regenerative lasting approach, you want to use a combination of Sculptra, PRP and Morpheus RF microneedling to tighten, replenish and rehydrate the skin globally. Filler will have an immediate result but will not address the root causes of sagging and general aging. Filler may also produce a puffiness around the lip that you won’t like. You have a beautiful face and need a provider who will give you a global treatment to get the result you are looking for.

Thank you for the pictures! The reason you are asking the question, it seems that you may not be satisfied with your results. From your pictures, it appears you have both volume loss and skin laxity. Sculptra helps with volume but not laxity. To improve laxity you need either a face lift or noninvasive options that are proven to tighten the skin such as Endolift. Good luck on your continued journey!

Nicely posted photos. YES you need mini face/neck lift with SMAS plication plus HA fillers to lips. Expect fees from $6,000+. Best to virtual consult with......