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Will Evaluation for Lower Facelift Be Accurate if I Have Fillers?

asked 2 years ago by caesarboy in southn Florida
Latest answer by Larry S. Nichter, MD, MS
Question viewed 979 times
Tags: face, jowls, nasolabial folds

I just had Radiesse for my nasolabial folds and Juvederm to fill out the upper and a little for the lower lip. Nice improvement. However, the little jowls are still there and since fillers or lasers won't help, I'm afraid that some sort of lower lift is in the near future. My question is, can a surgeon evaluate my face properly with all these fillers? Will I need to let the fillers be absorbed before surgery?

13 answers to Will Evaluation for Lower Facelift Be Accurate if I Have Fillers?

More difficult to evaluate if you have fillers

It will be difficult for a plastic surgeon to evaluate your face and your facelift needs while you have currently have fillers. In order to have the best consultation, you should let the Radiesse wear off so that the plastic surgeon can properly examine you. see video

Babak Azizzadeh, MD
Beverly Hills Facial Plastic Surgeon

www.facialplastics.info

Evaluating for a facelift after facial fillers

An experienced facelift surgeon can assess your situation well by feeling where the filler is and knowing when, where, and how much was placed. We typically like to allow two months to pass from the time of injection, but that is just personal preference. We also typically augment many areas during our surgeries and therefore like an accurate assessment of each nook and cranny. I would agree with Dr. Rand that you should seek a top plastic surgeon, not a mini lift clinic, if you want... more

Brent Moelleken, MD
Beverly Hills Plastic Surgeon

Ok for facelift evaluation after fillers.

IF your primary concern is to treat the jowl area with a facelift, I do not believe that the fillers you have recieved, will interfere with the examination.

Otto Joseph Placik, MD
Chicago Plastic Surgeon

Lower Facelift Evaluation after fillers

Lower Facelift and Fillers Are Complementary and an experienced board certified plastic surgeon or facial plastic surgeon should not have a problem in evaluating you for a facelift procedure. As you age by three factors - sagging (through gravity and time), loss of volume (counteracted by fillers), and skin texture (determined by environmental and genetic factors). Your fillers should enhance your effect of the lifting if placed appropriately by addressing one of the causes of aging.... more

Larry S. Nichter, MD, MS
Orange County Plastic Surgeon

Fillers and facelifts

I agree that an experienced board-certified plastic surgeon should be able to at least estimate the influence of your filler material volume on your needs for skin tightening. I think it is prudent to wait 6 months or so from the time you had the fillers; while the Radiesse (which feels firmer) may remain, he Juvederm may be reabsorbing at that point, making it a little easier to judge the volume deficiency.

Tim Abou-Sayed, MD
Palm Beach Plastic Surgeon

Radiesse injections and facelift evaluation.....

I think if you’ve had Radiesse injected into your nasolabial fold areas as well as Juvederm injections an experienced plastic surgeon should still be able to evaluate your face properly unless there is an over abundance of Radiesse in the nasolabial folds. In general, I would recommend waiting at least six months following filler injections for doing a facelift procedure.

Rod J. Rohrich, MD
Dallas Plastic Surgeon

Facelift evaluation after fillers

An experienced surgeon who utilizes fillers in his or her practice should have minimal difficulty determining the best treatment plan for you, even with fillers currenly in your face. If the fillers are not meeting your expectations regarding your jowl area, your best bet is to consult with your surgeon about a facelift, which can give you much more dramatic and longer lasting results than fillers. Regarding how long you'll need to wait for surgery after receiving fillers, it's... more

Deason Dunagan, MD
Huntsville Plastic Surgeon

Dermal fillers and lower facelift

Patients today have many options for facial rejuvenation of the lower face. Dermal fillers are extremely popular in patients that want to correct the nasolabial folds and marionette lines (otherwise known as the smile lines). A lower face lift will change the shape of the jaw or redrape the skin on your neck. Either way, your best bet is to work with a board-certified plastic surgeon who has great deal of experience in lower facelift techniques, dermal fillers, and facial... more

B. Pat Pazmino, MD
Miami Plastic Surgeon

Fillers will have no bearing on the evaluation of your neck and jawline

You ask a good question and the answer is very simple so I will keep it short and simple. Yes, your surgeon can give you a precise and accurate evaluation of your jowls, neck and jawline even with filler in place.

Jason B. Diamond, MD
Beverly Hills Facial Plastic Surgeon

The fillers you've had will only compliment not confound the final result of a lower facelift.

Cesarboy, an experienced facelift surgeon will be able to recognize the dermal fillers you've had and adjust his/her technique accordingly. Some injectors will attempt to "blend" the mandibular jowls with the "dip" (prejowl sulcus) in front of it; the effect is temporary. When you decide that the mandibular jowls and neck cannot be temporized with fillers, a lower facelift which tightens the underlying muscle and fat, as well as the skin will give you many years of... more

Lavinia Chong, MD
Orange County Plastic Surgeon

You can have an evaluation for surgery without waiting.

If you see an experienced face lift surgeon he can evaluate you aging by feeling the fillers and knowing what needs to be done surgically. He may or may not have you wait a month or two before surgery.

Toby Mayer, MD
Beverly Hills Facial Plastic Surgeon

Fillers and planning a facelift

Thanks for the question - In most cases having filler will not greatly change the ability to determine your needs for a facelift. Be sure to disclose to your treating surgeon the amount of filler, the location and the type used. With this information you should be able to get a good plan for facial rejuvenation. I hope this helps.

Steven H. Williams, MD
San Francisco Plastic Surgeon

Facelift evaluation

Fillers in the areas you describe do not prevent a surgeon from making an accurate assessment of your candidacy for a facelift. Just go to an excellent real plastic surgeon and avoid the "mini" lifts as they don't make a substantial improvement and don't last very long.