Would Sculptra help with this sagging? (Photo)

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.

Thank you for sharing your photo and explaining what’s been going on. What you’re noticing around the mouth is very common after weight loss. When facial fat decreases, the skin can lose some of its internal support, which can show up as mild sagging, soft folds, or a “deflated” look in that area—even if your skin quality is otherwise good.

Sculptra can be a very appropriate option in this situation. It doesn’t work like a traditional filler that pushes the skin up right away. Instead, it stimulates your own collagen over time, helping to rebuild structure and firmness from within. For weight-loss–related laxity, this gradual collagen support often improves the appearance of sagging and softens the area around the mouth in a natural way.

That said, Sculptra works best for early to moderate laxity and volume loss. It won’t “tighten” skin in the way surgery would, and results develop slowly over several months rather than instantly. In some cases, a small amount of targeted hyaluronic acid filler is used alongside collagen stimulation to better support the mouth corners or nearby folds, depending on anatomy.

Overall, based on what’s visible in the photo and your history of weight loss, Sculptra could be a reasonable and natural-looking way to improve support and firmness in this area, as long as expectations are realistic and the approach is conservative.

Thanks for your question. Sculptra will restore lost volume, especially int he mid face where it appears you may have some volume loss. It is hard to comment exactly given such cropped photos. If you do restore the cheek volume to a natural looking correction and you are still looking for improvement, you would want to move onto a skin tightening procedure rather than risk "over-filling". Consider these: Sofwave, Morpheus8, AccuTite. I hope that helps!