Facelift while Botox or fillers still active?

 Hello

Two questions here - BoTox & fillers.

I see no reason to not have a Facelift with a "BoTox" affect still in place.  

Fillers - you can have a surgical procedure BUT it helps the doctor know what to do - customize your procedure - if he knows what you really look like.  If you have some pre-filler pictures that are relevant, it would help.  You are commissioning art work - the artist should have a good idea what the canvass looks like - right?

It is interesting that you ask this question as I recently met another patient with the same situation. She was treated in Boston and recently moved to San Francisco after having had Botox and fillers. During the consultation, she described her main areas of concern, including the areas she had been treated with Botox and Juvederm. Overall, I felt she was a good candidate for the procedure, but advised her that I cannot give her my best evaluation of her face since there are areas that have been "masked."  I advised her to followup in 6 more months and also bring a recent picture of herself prior to the treatments to give her the best plan of action.