How will Sculptra affect a mid/lower face and neck lift? (photos)

sculptra helps prepare the skin for neck and facelifting, studies show that microneedling RF and thermage RF also help optimize the skin for healing during facial surgery. its important to do cosmelan or enlighten peels to help optimize the skin and we love sente pressed contour serum for firmness of the skin as well.
With significant neck sagging you would need a neck/face lift with muscle tightening (platysmaplasty). at the same time lasers (fraxel,  co2 or erbium( or microneedling RF (fractora, intensif) can be . performed to improve the crepe skin or wrinkles.  You need a formal consultation, as the neck can be treated with a combination approach:
1. micro needling and lasers for texture
2. botox, disport or xeomin to help platysmal bands
3. intensif or fractora RF microneedling for crepe skin and lifting
4. fillers like belotero, restylane silk, juvederm volbella to improve lines and folds
5. neck/face lifting if sagging is prominent or early starting +/- platysmaplasty (muscle tightening)
6. J plasma/Renuvion, thermiRF, inmode facetite for internal tightening
7. ultherapy and thermage for external tightening
8. regular Venus legacy, exilis ultra, or inmode forma treatments with facials to maintain tightness
9. PDO novathreads or silhouette instalift cone threads for lifting and long-term collagen production
see an expert for a full evaluation and treatment plan based on your individual situation and goals.
Best, Dr. Emer.

It is not uncommon to add volume to the face prior to doing a face/neck lift and this could be done with Sculptra.  Sculptra in the face should not affect the ability to perform the surgery.

It is a great idea to combine the two. Facelift will tighten the jowls and neck and Sculptra will fill the cheeks. As long as Sculptra is being done in the cheek area it will not affect the Facelift. RegardsDr. J

Ah yes, indeed. The tissue planes. Excellent question. Thank you for asking it. I love body contouring, facial rejuvenation and using my aesthetic vision to bring more beauty into the word. At my Los Angeles-based practice, we specialize in sculpting the human form. 
Sculptrais an FDA-approved injectable filler that can smooth deep wrinkles in your face that can accumulate from a lifetime of laughter. But Sculptra and effectively help you smooth that out. Because you have more life to live. 
Best of luck!  
Vinay Aggarwal, MD

You previously asked same question back in Sept 2019, this was my response, "You can try non invasive options as Dr Emer has suggested first. If you are satisfied than you are done. But if the results are not to the degree desired than best option is a surgical mini FL/NL with muscle plication. " Now 8 months have pasted by, and Covid-19 effects are present, best option is surgical mini FL/NL. If you try Sculptra injections the effects are completed by 6 weeks post each session of injections. Why not try a combination of surgery with fat grafts (micro/nano grafting during surgery?). Those fees would be in the $8,000-$10,000... Best to obtain in person opinions. 

Hi there,I would consider doing the lower face and neck lift prior to fillers unless you are only doing filler or Sculptra in the cheek and temple area.  Have a consultation with your surgeon.  They will let you know how to proceed.Best of luck...