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Lost Weight, Lost Fillers. Would the Same Happen if I Were to Have a Facelift?

asked 1 year ago by CuriousInLA in Los Angeles
Latest answer by Sam Naficy, MD
Question viewed 492 times
Tags: after weight loss

Juvederm in nasolabial folds, lips, betw.eyebrows + Botox betw. & above eyebrows. 2 y. later! Botox is gone, yet lips were still FULL, nasolabials same as when it was done, surprisingly. I was just a put on a med that has weight loss as a side effect. Lost 20 lbs in 2 months and suddenly all the Juvederm is PUFF-gone. If I were do fillers again, and keep losing weight, would the same happen? Same question applies to a face/neck lift I'm contemplating.Sorry for poor syntax,have 500 characters

19 answers to Lost Weight, Lost Fillers. Would the Same Happen if I Were to Have a Facelift?

+1

Losing Weight and Facial Fillers

Your weight loss did not accelerate the loss of facial fillers. If your juvederm lasted 2 years, you had an excellent result.. Botox lasts 3-4 months, not 2 years. Facelifts are best done after weight loss - the results are better and last longer.
Richard W. Fleming, MD

Beverly Hills Facial Plastic Surgeon

www.bevhills.com

+2

Weight Loss and Facelift

The facelift operation, especially when the neck is properly addressed, gives the best improvement when your weight is relatively stable.  If you are planning weight loss of greater than 10% of your body weight, you should complete that prior to a facelift.  That being said, patients who lose weight after a facelift may lose some volume in their face, but this will not reverse the benefit of the lift.  For example, the jaw and neckline will still be improved, and the volume... more
Paul K. Holden, MD

Phoenix Facial Plastic Surgeon
+1

Face change after weight loss

Although it is hard to tell without seeing your pictures what you are describing is likely related to loss of facial fat (related to weight loss) as opposed to sudden loss of your fillers
Sam Naficy, MD

Seattle Facial Plastic Surgeon
+1

Fillers vs Facelift

Losing weight can cause your face to appear droopy or saggy.  Fillers add volume to folds and hollowness.  When you lose weight, it's fat, not hyaluronic acid.  Most temp fillers last 8 - 12 mos depending upon where they are placed.  Filler around th emouth area tends to metabolize quicker than the cheekbone area.  Botox commonly lasts 3 - 4 mos.  So no doubt that your face has lost fullness.  Fillers are maintenance treatments, however; losing fat... more
Mitchell F. Grasseschi, MD

Chicago Plastic Surgeon
+1

Duration of fillers in the face

As the others have said, fillers like Juvederm last 6-8 months in the lower fac max and Botox 4 months.  Whatever the situation, it is best to be at your ideal weight or within 10 pounds of it for a facelift.  You will still need Botox and maybe fillers later depending on your concerns because the need for these is not eliminated by surgery.
Richard P. Rand, MD, FACS

Seattle Plastic Surgeon
+1

Fillers and facelift

Fillers add to what you already have. If you lose weight it will look less full because fat disappeared.  Botox only lasts 3-4 months fillers last about 6-12 months depending upon the product.
Steven Wallach, MD

Manhattan Plastic Surgeon
+1

Weight loss before not after Facelift is important

I agree with other posts that loss of filler and Botox is not your problem-they lasted for an appropriate time. Facial skin laxity after weight loss is best addressed with a Facelift-the excess skin must be removed and lax skin tightened. It is very important that you achieve your planned ideal weight before your Facelift. If you lose weight after your Facelift, facial laxity will return.
Brooke R. Seckel, MD

Boston Plastic Surgeon

www.drseckel.com

+1

Facial rejuvenation options after weight loss

After losing a lot of weight, you may want to consider a facelift and necklift to address the significant jowling and sagginess that can occur to the face.  A facelift can last many years, it can be done as an outpatient procedure, and the scars can be very well hidden.  Fillers and botox can only do so much, and I've found that patients who have lost a lot of weight get a better "bang for the buck" with a facelift and necklift.  It's hard for me to... more
Jeffrey E. Schreiber, MD

Baltimore Plastic Surgeon
+1

Best to be at ideal body weight for face/neck lift

In our experience Botox and Restylane only last four to eight months depending upon where the product is placed. Fillers and Botox do not tend to last longer or shorter with weight gain or loss. It is important before undergoing a face/neck lift to be at your ideal body weight.  
William Portuese, MD

Seattle Facial Plastic Surgeon

www.seattlefacial.com

+1

Weight loss, fillers and botulinum toxin (botox)

I would agree with my colleagues: 1) If Juvederm lasted you 2 years, that is GREAT! 2) weight loss is unlikely to effect the longevity of the results.
Otto Joseph Placik, MD

Chicago Plastic Surgeon
+1

Botox and Juvederm

It sounds like you had a great run with both products! Juvederm typically only lasts 6 months and Botox only lasts 3 to 4 months.  Juvederm is made with Hyloronic acid which your body will metabolize.  Since you went though a significant weight loss your metabolism was probably increased which in turn caused the product to wear off. It is rare to see a filler in the lips last that long. You may want to reach your goal weight before getting your neck lift, but always... more
Miguel Delgado, Jr., MD

San Francisco Plastic Surgeon

www.dr-delgado.com

+1

Rapid weight loss and Face lift results..

Yes you will see a change in the results of your neck/face lift if you loose weight too fast. Basically it is like a balloon that deflates too quickly. the skin will not have the time to "re-drape" itself over your bone structure. To avoid such effect (the skin "sliding" down") either try to loose weight slowly over several months or wait to get the face/neck lift AFTER you have reach a stable weight. I usually advise my patients to wait at least 6 months after... more
Henri P. Gaboriau, MD

Seattle Facial Plastic Surgeon
+1

Treatment of Facial Aging after Weight Loss

Hi CuriousInLA in Los Angeles, Weight loss contributes to appearance of facial aging by (1) excess facial skin laxity, and (2) facial volume loss. Adding volume to the face may be performed with a variety of nonsurgical methods, in addition to cheek implants and fat grafting. Sagging skin is primarily treated with face lift plastic surgery. Both lifting and volume addition complement one another to produce a more natural, youthful result. Keep in mind that face continues to age.... more
Houtan Chaboki, MD

Washington DC Facial Plastic Surgeon

www.potomacplasticsurgery.com

+1

Weight loss facial treatments.

With aging and weight loss ces excess skin and wrinkles. Wrinkles can be filled with up to 2years duration. Excess skin however must be removed, but that lasts forever. You will continue to age but the skin that was removed cannot come back.
Toby Mayer, MD

Beverly Hills Facial Plastic Surgeon
+1

Weight Loss WILL lead the Shorter Duration of Wrinkle Fillers and Facial Aging

Regarding:  "Lost Weight, Lost Fillers. Would the Same Happen if I Were to Have a Facelift? Juvederm in nasolabial folds, lips, betw.eyebrows + Botox betw. & above eyebrows. 2 y. later! Botox is gone, yet lips were still FULL, nasolabials same as when it was done, surprisingly. I was just a put on a med that has weight loss as a side effect. Lost 20 lbs in 2 months and suddenly all the Juvederm is PUFF-gone. If I were do fillers again, and keep losing weight, would the same... more
Peter A. Aldea, MD

Memphis Plastic Surgeon
+1

Lost Weight, Lost Fillers. Would the Same Happen if I Were to Have a Facelift

Why don't you lose ALL the weight you want to than get the fillers and facelifting. That sounds more like the use of logic. Best of luck. 
Darryl J. Blinski, MD

Miami Plastic Surgeon
+1

Juvederm not affected by weight loss

Hi CuriousinLA, Weight loss has nothing to do with Juvederm longevity.  It may be that you lost some weight in your face and now this is noticeable but the Juvederm did not just disappear.  The only thing that can affect Juvederm is if you get dehydrated.  Since Juvederm is a humectant, it attracts water, and if you are dehydrated the Juvederm is not as plump.  If you don't have skin laxity, a facelift is not necessary.  Even for people who do need a facelift... more
Tracy Pfeifer, MD

Manhattan Plastic Surgeon
+1

Loss of volume

There are two considerations with aging and with weight loss.  First is skin laxity which is due to to loss of elasticity.  With aging or weight loss, the integrity of the skin is diminished and the skin starts to sag.  Second, with weight loss or with aging, the volume decreases.  The ways to address these issues are to add more volume and tighten the skin.  Adding volume can be accomplished with dermal fillers or with fat grafting.  Tightening of your skin can... more
David Shafer, MD

New York Plastic Surgeon

www.ShaferPlasticSurgery.com

+1

Has nothing to do with the Juvederm disappearing!

Dear Curious First, while the HA fillers like Juvederm, really do last over a year and to a minor degree longer, expecting to have satisfactory results two years after treatment is unrealistic.  The fillers are just that, they provide facial volume.  So does your own fat.  So guess what?  Less facial fat, less facial volume.  There is a quote from a famous actress to the effect that at some point it is your face or your ass.  Meaning that when you loose... more
Kenneth D. Steinsapir, MD

Los Angeles Oculoplastic Surgeon

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