Combination of ultherapy and fractional co2 plus sculptra for skin tightening and lifting along with tired look? (Photo)

These modalities can be combined to produce excellent results.  Exactly which treatments you undergo should be left to the discretion of the physician you identify and trust.  While you may be able to achieve outstanding results, I would caution against going into any noninvasive procedure with the expectations of "knock out" results.

Each patient needs to be evaluated in person to see their facial convexities, concavities at rest and with expression, and to visualize their skin laxity, sundamage, and acne scar existence.  Some patients only need volume but for those who do need volume and resurfacing or ThermiTight or Ultherapy facial lifting / tightening, I recommend the latter be done before the Sculptra, Voluma, Radiesse, or other fillers such as Juvederm or Restylane.

Our office frequently combines both the Ulthera and Fractional CO2 to tighten the face and neck and resurface photo damage and skin aging.  Fractional CO2 complements the Ultherapy procedure well. Dr. Karamanoukian 

The combination of Ultherapy, fractional CO2, and Sculptra can be used to help rejuvenate the face.  All of these treatments accomplish different goals.  Ultherapy tightens the tissue under the skin, which can lead to a lifting effect.  Fractional CO2 has more effect on the skin's surface, and can help with lines, wrinkles, and discoloration.  Sculptra adds volume to the face, which generally causes the face to look younger.  It is a bit difficult to fully evaluate your face because of the beard, so I do not see much in the way of sagging skin on your face.  It is possible that a hyaluronic filler, like Restylane, could be used under your eyes to help with the darkness there.  It also appears that Sculptra could be beneficial in your mid face area.  

If you are keeping a beard which covers most of your face, don't waste your money on Ultherapy or fractional lasers because no one will be able to see a difference. There is some asymmetry of your face which should become more apparent without a beard. This may be improved with volume fillers. Consult a facial plastic surgeon first.