You’re probably noticing a phenomenon that plastic surgeons took some decades to catch onto: That lifting the facial skin without replacing lost skin volume doesn’t create a completely satisfying rejuvenation. Our skin starts to sag because it’s lost fat, elastin, and collagen that keep it plump, moisturized, and pliable. Merely lifting skin gives you a slightly “windswept” look. So, yes! Please feel free to add the collagen-stimulator Sculptra to your thread lifts so that your face fills out again in a more youthful and flattering way. You’ll notice a much more natural and energized look after you do so. If you want a faster improvement, then I’d recommend either Voluma — which only takes a couple of weeks to “settle in” — or Voluma layered on top of Sculptra. I will say that lifting with PDO or the Silhouette Instalift suture is a good idea for many patients. One can’t lift all sagging with fillers or you will look to full. The combination of sutures and fillers is a wonderful synergy. Please find a board-certified dermatologist to sculpt your face and add more volume with Sculptra or Voluma.