It would be very difficult to inject Sculptra in the neck without nodules forming. I, for one, would be hesitant to do so, especially in someone with only a thin layer of fat over the muscles, even though I have extensive experience and great resukts with Sculptra, but perhaps someone as expert as Rebecca Fitzgerald would be able to do this for you. I have seen good results that patients are very pleased with via a combination of BTX-A (Botox, Dysport and Xeomin) to the neck bands and horizontal lines, and a series of Aluma bipolar radiofrequency treatments. For Aluma to be effective in tightening the skin, not just improving the texture and fine wrinkles, one needs topical anesthesia and adjustments of the time and pulse parameters to achieve 20 to 24 Joules of energy delivered per pulse. The vacuum and cooling aspects of this particular radiofrequency device make it less painful than other radiofrequency devices delivering the same energy levels. I have developed the impression that other centers do not deliver this level of energy and therefore may not be seeing the great results that I am seeing. The benefits of Aluma would still be present after the neck lift, in that the texture of your skin would be smoother and you would have less superficial wrinkling.i hope this is helpful and good luck with your surgery!