Is it okay to have filler prior to lower face lift?

Question

Hello doctors, I would like to have neck lift with a lower face lift sometime in the next 8 months or so. I used to get restylane in the nasolabial lines but I haven't had it in almost two years. Is it okay to get the filler in the smile lines if I intend to have a lower facelift in the near future? Will the filler affect my facelift results in a negative way? Thanks

Jonathan Kulbersh, MD · Answer

Most patients who have facelifts these days have used fillers before. They shouldn't interfere with your results at all. Ideally, you would go to the same facial plastic surgeon for both the fillers and the facelift so that he or she knows what you've had done and how to adjust for that, if necessary, during the surgery. If that can't be managed, be sure to inform your surgeon about the fillers before your facelift. I hope this helps.

Larry S. Nichter, MD, MS, FACS · Answer

Perhaps the best answer is to do both at the same time though before or after is also possible. One of the elements of aging is loss of volume in the cheeks, temples and sides of the chin. Fillers or fat transfer can be used to rejuvenate these areas. I typically perform fat transfer as part of my facelift procedure whether traditional or a mini scar technique (most common). The reason is that part of the aging process is loss of fat in the temples and cheek regions which varies from person to person. There is a limit of how much fat can be safely injected into one area. The amount of fat that remains over time is variable from patient to patient. For some patients, more fat or other fillers may need to be transferred in a subsequent surgery to maintain or supplement the desired results.The survival of fat transfer (lipoinjection) is highly technique sensitive so choose the plastic surgeon with the most experience in this technique. See the below links for added details.

John Michael Thomassen, MD · Answer

It is fine to get fillers before a face and neck lift.  These are complementary procedures and would not detract from each other.

Amir Nakhdjevani, MBBS, MRCS, FRCS(Plast) · Answer

Thank you for your question.  Yes, its fine to have filler in this area before a facelift.  A facelift will normal lessen these lines, therefore I would suggest waiting after your facelift, as the amount you may need could be less.  All The Best

Paul Lanfranchi, DO, FAOCOO · Answer

Yes, it is perfectly ok to have filler placed in the nasolabial folds prior to a lower facelift. As a general statement, and depending on the surgical technique, the nasolabial folds usually do not change after a lift. Most surgeons will not alter their technique, nor how tight they pull (or not pull) the jawline tissue based on pre-existing filler in the folds. I typically advise patients to delay their filler until after the facelift surgery since it is quite possible that they would need less filler, or none at all.  The reason is not because the folds will improve (they won't), but because the entire lower face is going to look much more youthful and attractive afterwards.Best,Doc L

Peter Hyans, MD · Answer

Having a filler to your nasolabial folds prior to a facelift should not effect your results.  Just let your plastic surgeon know so that they may better plan your surgery accordingly.

Jason Emer, MD · Answer

having fillers won't affect you having a facelift. I suggest you see an expert for the best treatment options.  Dr. Emer.

Justin Yovino, MD, FACS · Answer

It's absolutely not an issue to have fillers prior to your face and Neck lift. It won't effect your results. It compliments the lift actually. You might want to consider fat transfer to these areas during the lift.

P. Daniel Ward, MD · Answer

Filler before facelift should not present any problem prior to a face lift. There should not be any negative consequences.

Guray Yesiladali, MD, FEBOPRAS · Answer

Hello and thank you for your question. Although it is not a problem to get filler injection prior to a facelift, I would prefer combining fat injection with facelift. 
Kind regards,
Güray

Is it okay to have filler prior to lower face lift?

Answers (20)

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