Tom,
Since Botox is used mostly in the glabella, crow's feet and forehead area, I find the comments to make no rational sense. Facelifts are mainly sought for issues of the lower face (jowls, neck) while Botox treats the upper face. Whatever a patient has done to the upper face will not affect the aging of the jowls and lower face.
I have been using Botox in my practice since 1998, and I find no correlation between the use of Botox and the need for a facelift sooner. In addition, many of our facelift patients benefit from Botox after they have had their facelift since they look great in the lower face but still have issues around the glabella and crow's feet.
I find Botox and facelifts to be complementary treatments and not adversarial treatments and I will continue to advise younger patients to use Botox without fearing that the use will lead to premature lower face aging.
