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Facelift While Botox or Fillers Still Active?

Is it safe to have a facelift when Botox or cosmetic fillers are still in effect, or would it be better to wait until they have worn off? Will the Botox or filler have any effect on the results?

Asked 37 months ago by Belledujour in Midwest, USA

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filler safety

Botox and Fillers and facelift

Hopefully your surgeon knows your anatomy well, and where you have been getting Botox and fillers, and can work around them. With my patients, I like them to be Botox and filler-free for a minimum of two months before surgery. Particularly with cheeklifts, the Botox that is given in the crow's feet lines temporarily weakens the orbicularis muscle, the muscle that partially supports the corner of the eye. It is important after facelift surgery and whatever ancillary procedures) that you... more

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Brent Moelleken, MD

Beverly Hills Plastic Surgeon

ASAPS ASPS

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?

Michael Kulick, MD

San Francisco Plastic Surgeon

ASAPS ASPS

Inform your surgeon about Botox or fillers before facelift

An experienced plastic surgeon should account for the presence of Botox and facial fillers when assessing a patient for facelift or necklift procedures. You should definitely tell your surgeon that you have been administered these temporary treatments on your first consultation. Even with a facelift, you will still require further Botox or facial filler treatments in the future.

Raffy Karamanoukian, MD

Los Angeles Plastic Surgeon

OK to Have Facelift With Fillers and BOTOX

It really isn't necessary to wait for the BOTOX and fillers to wear off before proceeding with your Facelift. In the vast majority of circumstances, your surgeon can contour well even with the injectables on-board.

Paul C. Zwiebel, MD

Denver Plastic Surgeon

ASAPS ASPS

It is safe to have face lift with Botox and Fillers still in effect

Face lift results" src="http://drseckel.com/wp-content/uploads/2007/07/face-lift-before-and-afteri.jpg" /> Botox and fillers, if properly placed in recommended amounts will not effect face lift results after a 6 week waiting period. The waiting period is primarily to allow swelling and inflammation from the filler injection to subside. A surgical procedure such as a face lift, in my experience may lessen the duration of the Botox efffect, and you may need repeat Botox injection sooner after...

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Brooke R. Seckel, MD

Boston Plastic Surgeon

ASAPS ASPS

Botox and fillers at the time of facelift

In my opinion, it is unnecessary to wait for the effects of Botox or fillers to wear off before having facelift surgery. They will have a negligible effect on the surgery and, in the case of Botox, there is even an argument to make that it is better to do the corrective surgery while the muscles have been chemically denervated so that the wrinkles don't reform during the healing period. Hope this helps!

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Lawrence Kass, MD

Saint Petersburg Oculoplastic Surgeon

Facelift when Botox and Fillers are still in place

Great feedback from the panel so far. We echo the following. 1. Make sure that you know exactly what was injected previously if the practitioner doing your surgery is different from the one that did the injections. 2. Make sure that the surgeon knows what you look like without the fillers (either wait until they are gone or review photos) so that the proper surgical plan can be created.

Harold J. Kaplan, MD

Los Angeles Facial Plastic Surgeon

Probably best to wait

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... more

Charles K. Lee, MD

San Francisco Plastic Surgeon

ASAPS ASPS

Although safe, wait until botox and fillers are gone before having a facelift.

You've paid a lot of money to look better from the injectibles. Why have an operation while you are receiving the benefits of those treatments? It's not unsafe but does waste some of the non surgical benefits.

Vincent N. Zubowicz, MD

Atlanta Plastic Surgeon

ASAPS ASPS

Botox and Fillers should not interefere with having a Facelift

Botox, fillers, and facelift surgery address facial aging in different ways. Although these procedures can all work very well together to rejuvenate your face, having any one of these treatments will not impact your ability to have any of the other treatments. It is fine to have a facelift/necklift while you still have Botox and/or filler on board. The only caveat that I would give you is that if you are considering brow rejuvenation, your surgeon needs to know about your botox treatment... more

Haresh Yalamanchili, MD

Houston Facial Plastic Surgeon

Is it OK to have a facelift while Botox or Fillers still active

Facial rejuvenation is a combination of non-surgical treatment modalities (such as botox and fillers), surgical treatment options (such as face and neck lift or eyelid surgery), and skin care. Depending on your facial anatomy, the nonsurgical treatments you have receive may indeed complement your facelift results. Often, I will recommend some additional nonsurgical treatment to fine tune a patient's facelift results. The one surgical procedure that I would... more

C. Bob Basu, MD

Houston Plastic Surgeon

ASPS

Botox and Fillers before a facelift!

Having Botox in the brow area or the glabellar can modify the position of the brow. It is best to wait until the Botox has worn off to do a brow lift. Fillers will not have any affect in the positioning of the face. Usually if a fat transfer is being performed with the Facelift the fat is being injected into the cheek region. Ii hope this helps. Good Luck!

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Miguel Delgado, Jr., MD

San Francisco Plastic Surgeon

ASAPS ASPS

Not an absolute contraindication, however I would prefer to have the face done before.

Facelift, Botox and fillers can create a great combination for a more beautiful and natural looking result. From a scientific standpoint there is no problem doing surgery after Botox. However, from a technical standpoint it can some what change the surgical approach or degree of improvement desired. When we do Botox for crows feet and glabellar wrinkles the position of the brow is usually changed. The brow is usually slightly higher then normal. If the patient comes in without Botox... more

Boris Volshteyn, MD, MS

Reno Plastic Surgeon

Yes it is safe, and sometimes even beneficial

It is safe to have a facelift with botox in effect, but it depends on its locations and surgeon preference. In some circumstances, it may even be beneficial to have botox before a surgical procedure.

Babak Azizzadeh, MD

Beverly Hills Facial Plastic Surgeon

Facelifting can be performed with Botox and Fillers

It is not necessary to wait until Botox and/or fillers have worn off before undergoing facelifting treatments. There are regions of the lower face (i.e melo-labial folds) or cheek folds that are addressed with both the facelift and the fillers. Therefore, if one is undergoing a facelift for the treatment of the melo-labial fold, it may be worthwhile to wait on he fillers until after the facelift results are achieved. In this manner, you may require less filler to... more

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Jon E. Mendelsohn, MD

Cincinnati Facial Plastic Surgeon

Facelift Surgery With Botox and Fillers Present

In my opinion, you are just fine having a facelift procedure performed with Botox and/or a filler having been done recently. In fact, in many cases the Botox and fillers can enhance the results of a facelift procedure. As long as your plastic surgeon is aware of what was done and where, you should be fine to proceed.

John M. Hilinski, MD

San Diego Facial Plastic Surgeon

Facelift while fillers and botox still active

Doing a facelift while botox is still working is not a good idea. There is no way to evaluate facial nerve function (mostly a concern in the forehead and brow area only) during or after a facelift if the botox is present and active. Facial nerve injuries are rare but very significant and even after over 1000 facelifts I would not be happy operating on a patient whose facial nerve I could not evaluate. It would be better to put the operation off until the botox wears off and then... more

Richard Galitz, MD

Miami Facial Plastic Surgeon

Facelift with Botox and Fillers

Yes, a facelift with botox and fillers can be done safely. Think of a facelift, botox, and facial fillers as different instruments which work together to help create a more youthful face.

Anil R. Shah, MD

Chicago Facial Plastic Surgeon

Facelift with Injectables

It is perfectly alright to undergo a facelift with injectable fillers in place and Botox effect. Most people do! I also recommend maintenance after a surgical procedure with fillers and Botox to improve and maintain results. It does not affect the procedure or your results in any negative way.

Hayley Brown MD

Henderson Plastic Surgeon

ASAPS ASPS

Botox and Filler Do not Hinder Facelift Surgery

The presence of Botox and Fillers will not have an adverse affect on a facelift. I do recommend, however, that any patient planning a facelift in the next few months wait until after the surgery to use fillers. The fillers are excellent for "tweaking" a facelift. Since fillers can last for a year or more, you might be best served to wait and see where it is you want them after the surgical changes take hold. Botox is different in how it works and I recommend... more

Louis W. Apostolakis, MD

Austin Facial Plastic Surgeon

Facelift while Botox or Fillers are Still Active

Yes, it is safe to do a facelift procedure while Botox and/or Fillers are still active. It is usually best if you wait about three months after having Botox injections especially when doing a browlift procedure and/or eyelid rejuvenation procedures for optimal results of the surgical procedures.

Rod J. Rohrich, MD

Dallas Plastic Surgeon

ASAPS ASPS

Botox Cosmetic and Facelift in combination

I'm a Cosmetic Oculofacial (Speciaizing in Eyelid and Facelift Surgery) Plastic Surgeon practicing for 15 years with offices in Manhattan's Upper Eastside. assuming the Botox is in the usual areas (forehead, frwon and Crow's feet lines) , a facelift (which addresses the midface to the upper neck) should not be affected by the presence of Botox.

Amiya Prasad, MD

New York Oculoplastic Surgeon

Facelift after Botox and fillers

Undergoing a facelift after previous treatment with Botox and cosmetic fillers should be safe, and the procedures are complementary. It is probably best to wait 1 - 2 weeks after using hyaluronic acid fillers for the swelling to resolve, so as not to impact the facelift procedure.

Olivia Hutchinson, MD

New York Plastic Surgeon

ASAPS

OK to proceed with facelift after Botox and filler treatment

Dear Belledujour, I would agree that it is not necessary to delay surgery due to the presence of facial filler materials. Botox in particular does not present an issue in terms of surgical planning. It is helpful to know what your face looked like before filler and you, the patient, can often describe that during the consultation. Pre-filler photos are helpful though to pinpoint exactly what your face looks like without filler material and to determine the best course of action to address... more

Stephen Weber, MD

Lone Tree Facial Plastic Surgeon

Timing of Botox Cosmetic or Facial Fillers with Face Lift Surgery

Face lift surgery while Botox Cosmetic or facial fillers are still active is generally not a problem. Be sure your plastic surgeon knows of all treatments who have received. He/she will perform a comprehensive evaluation to determine if you are a face lift candidate, which includes a medical history. Some patients forget to mention Botox or fillers, since they consider it minor. However, your plastic surgeon needs to know everything.

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