PAS DU TOUT!
"I have been offered fat injections to upper lids, cheeks, nasolabial folds and marrionette lines along with a facelift."
1. The danger of blindness and injury to the eye globe being VERY high and the benefits being so few due to the thinness of the skin, No ethical surgeon would EVER inject fat into the upper lids. if this indeed is what happened, I would find another surgeon.
2. As we age 2 processes take place, we lose facial bone mass AND we lose fat from our faces giving rise to the deflated face look. IF your face is deflated in certain areas, you would lose nothing (except for post operative swelling and potential incomplete "take" of fat grafts) by having fat grafting of those areas.
BUT - if there are areas that bother you, then I would do it only to restore the youthful upside tapered face, not to just squirt fat in there.
3. I would NOT do it before a facelift if you are planning on having a Facelift since it can easily be done at the time of a Facelift.
4. If you were asking would fat injections do away with the need / benefit of a Facelift ? NO they would not. Fat grafting does not lift and reposition fallen tissues, it only fills the tissue where is sits now.
I hope this was helpful.
Peter A Aldea, MD, FACS