Which is better to have done first: CO2 laser or facelift with fat transfer?

In general, these three procedures can be performed at the same time. If they are to be performed at different times then the best path depends on your expectations and what are your main concerns.  I've had patients have a facelift and CO laser with fat grafting months later.  However, I have also had patients go each way (1. laser then facelift and fat transfer, 2. facelift and fat transfer then laser).  I hope this helps.

I can often do all 3 procedures in one setting.  The beauty of combining procedures is that you have one exposure to anesthesia and a single recovery time.  I regularly combine facelifting (rhytidectomy) with fat grafting.  Regional CO2 laser resurfacing can also be added.  I do not perform laser resurfacing over areas where the skin has been surgically elevated for the facelift.  I do feel it is safe to resurface areas such as: the forehead skin, nose, around the eyes and mouth that are not part of the facelift surgery.  Hope that helps with your decision.  Best of luck!