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Effect of More Radiesse or Juvederm Prior to Lower Facelift?

asked 2 years ago by anonymous57 in San Francisco, CA
Latest answer by Peter A. Aldea, MD
Question viewed 597 times
Tags: cheeks, face

I am considering a lower face/neck lift in early 2010. I had Radiesse injected into my cheek area in April 2009 and another .5 syringe in June 2009. There seems to be a flattening of the effect especially in the orbital bone area where I see loss of volume.

I was considering either more Radiesse or Juvederm in this area only. What is the downside if any to having a dermal filler in this area prior to a Facelift? Thank you.

16 answers to Effect of More Radiesse or Juvederm Prior to Lower Facelift?

+2

Filler prior to facelift

As the other doctors have pointed out, why would you have you have temporary filler injected prior to a surgery? It can distort the anatomy, and you miss a perfect opportunity to place more lasting material into areas of hollowness. Fat injection is commonly performed, and we prefer LifeFill (R) grafts, nontraumatized grafts from the patient's own tissues. However, if you are just having the face done, it probably wouldn't hurt to have filler in that area. You probably know my feelings... more
Brent Moelleken, MD

Beverly Hills Plastic Surgeon

www.drbrent.com

+1

Fillers and Facelift Surgery

I suggest having the facelift surgery first. Many lower facelift techniques will will not alter the cheeks significantly. Make sure your surgeon is aware of the previous filler injections. After the facelift, fillers such as Radiesse, Juvederm, or fat can be used to refine the result of that surgery.
Richard W. Fleming, MD

Beverly Hills Facial Plastic Surgeon

www.bevhills.com

+2

Radiesse prior to facelift

If you are only addressing your lower face for your facelift procedure, then the placement of dermal fillers into the cheek area should not preclude you from proceeding with your intended facelift surgery. The enhancement you will see in this area will really improve the results of your facelift. One thought, however, is that you discuss with your surgeon their feelings with regards to fat injections to these areas. If you are already undergoing surgery, fat is my preferred filler substance... more
Philip S. Schoenfeld, MD

Chevy Chase Facial Plastic Surgeon
+1

Wrinkle Fillers Before or After a Facelift

Fillers are used as a "finishing touch" on stable depressions or wrinkles. It would be MUCH preferable to have the Facelift first and then judge where IF anywhere to put fillers rather than place fillers and then have the Facelift move those areas where they will look awkward or worse. Dr. P. Aldea
Peter A. Aldea, MD

Memphis Plastic Surgeon
+1

Dermal filler for cheeks prior to facelift.

There is no down side to having either one of the dermal fillers placed prior to a face/neck lift procedure. The orbital area over the zygomatic arch is actually augmented at the time of the face/neck lift, whereby the SMAS is rotated upwards and gives a very small 3-mm augmentation of the cheekbone at the time of the procedure.
William Portuese, MD

Seattle Facial Plastic Surgeon

www.seattlefacial.com

+1

Wait until after the Facelift to get fillers

As one of the busiest facelift surgeons in the country, my suggestion would be to hold off on fillers for now. I perform about 35-50 facelifts each month and some of my patients have filler in place. It really does not affect the outcome but it seems like a waste of money to do fillers if you are going to get a facelift. Some people do benefit from fillers after a lift but for now, just wait . Good Luck.
Robert F. Gray, MD

Bay Area Facial Plastic Surgeon
+1

Fillers may cause inflammation

Anon, Fillers might cause inflammation, which would make you more susceptible to bleeding during your facelift surgery. Hold off until 3-6 months after the surgery. Good luck!
Kenneth R. Francis, MD

Manhattan Plastic Surgeon
+1

Consider fat grafting at the time of your facelift

I would recommend that you defer any injections and instead plan on proceeding with fat injections to these areas at the time of your facial procedure to produce a longer lasting, and probably more cost effective, outcome.
Otto Joseph Placik, MD

Chicago Plastic Surgeon
+1

Have facelift first then see if fillers are necessary post-op

A deep plane facelift will elevate the tissues of the midface and restore volume to the areas which concern you. I would suggest having the facelift first and see if the fillers are even necessary post operatively. Good luck.
Robert W. Kessler, MD

Orange County Plastic Surgeon
+1

Fillers before a facelift

 If you are close to surgery, you might wait so that your surgeon will know what is really you as they try to restore your volume back up where it used to be.  Plus, after surgery, you might find that you need no fillers or only a very small amount.
Richard P. Rand, MD, FACS

Seattle Plastic Surgeon
+1

Wait until after the facelift

Dear 53 Facial fillers are great, no question. However, if you are serious about having a facelift early in 2010, you are already there. 2010 is just around the corner. When you have the facelift, there will be changes in the positioning of the facial fat and this is were these fillers live. In the case of the Juvederm, if the filler is exposed during surgery, it will be suctioned out of the face and removed. This may happen to some of the Radiesse but there tends to be more of a tissue... more
Kenneth D. Steinsapir, MD

Los Angeles Oculoplastic Surgeon
+1

Radiesse or Juvederm before lower facelift will have minimal effect

If the same surgeon is doing both, there is no problem. If another surgeon is doing the filler you may want to see the surgeon first. It really depends on the specifics of what the facelift will be accomplishing.
Toby Mayer, MD

Beverly Hills Facial Plastic Surgeon
+1

Fillers prior to facelift

You should discuss your plans with your plastic surgeon prior to undergoing any injection before your facelift. Often, I perform fat grafting to the midface at the same time as a facelift to enhance the results. If you have this done at the same time, then there would be no need for the Juvederm or Radiesse prior to the facelift procedure. Good luck with your procedure
David Shafer, MD

New York Plastic Surgeon

www.ShaferPlasticSurgery.com

+1

Have the Plastic Surgeon doing the lift, do the fillers

If you have the fillers done by the same Plastic Surgeon who is going to do your face-lift, there is no problem. He will have an understanding of your underlying facial structure. We regularly do fillers in patients who will do a lift when they are awaiting to have the downtime they need for the lift. We also regularly use fillers during our surgery -- especially Sculptra which kicks in as the swelling from the lift goes down. Dr. Mayl
Nathan Mayl, MD

Fort Lauderdale Plastic Surgeon
+1

I would wait

Usually the cheek bones are plumped up with the cheek part of the face lift, and you may not need additional filler (save money!).  Further, the filler may artificially fill the area and the surgeon may under correct during surgery.
Scott E. Kasden, MD

Dallas Plastic Surgeon
+1

Dermal Fillers Before Facelift

Having dermal fillers too close to a facelift can distort the appearance by making it look better than it is. Its best to do the fillers after the facelift is done and you are completely healed and the swelling is resolved. Regards
Tanveer Janjua, MD

Bedminster Facial Plastic Surgeon

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