I gave up using Sculptra quite a few years ago. It is expensive, usually requires three treatment sessions to achieve any tangible, visible results, and it something goes wrong, there is no easy way to dissolve it. Contract the above with the use of an appropriate HA volumizing filler for the cheeks (which would not only create a more feminine, heart-shaped oval face, but secondarily improve the smile lines) or the injection of a low viscosity, cohesive HA filler directly used to elevate and smooth the smiles. The results of these filler treatments can typically be achieved in one treatment session, and, should the need arise, these naturallfillers can be easily dissolved with hyaluronidase. Hope this helps and best of luck.