Is it better to do all face procedures at the same time?

The series of procedures that you are suggesting is commonly performed in healthy patients at one time in my practice. In recent years I have seen a trend toward more patients having multiple procedures done together. However, there is no totally right nor totally wrong answer to this question. Since time itself is valuable, the advantages of doing everything at once is one down time, and often synergy of results. There is also cost compression from having multiple simultaneous procedures. Some patients aren't comfortable with multiple procedures, fearing too great a change at one time. However, if you are seeing a Surgeon who does natural result, this should not be an issue.

It really does not matter whether you split procedures up or do things all at once. In a skilled facial specialist's hands the result should be the same either way you go. However, doing it at once allows you to have only one procedure with one recovery period and generally a little less cost.

Thank you for your inquiry! It wouldn't necessarily change the outcome aesthetically whether you split the procedures up separately or do the procedures together. I always recommend doing the procedures together as long as you're a candidate due to one anesthesia price and one recovery. I would love to see you in person and verify that you're a good candidate for these procedures. Schedule a consult with a board certified plastic surgeon like myself so we can make a surgical plan for you and help you reach your goals!

Dear mbelmel, thank you for your question!

Combining facial procedures, like a facelift, neck lift, brow lift, and upper/lower blepharoplasty, can provide a cohesive, balanced outcome with a single recovery period, allowing all areas to heal and rejuvenate simultaneously. When performed together, these procedures are coordinated to achieve harmony in facial contours and proportions, often resulting in a more natural and refreshed look.

However, there are some considerations for performing multiple procedures in one session. Combining surgeries can lengthen the total time under anesthesia, which may carry additional risks. For this reason, it’s essential to work with a board-certified plastic surgeon experienced in combined facial procedures to assess your candidacy for a multi-procedure approach.

For patients with specific concerns about safety, surgical duration, or healing capacity, spacing out procedures can still deliver excellent results. Ultimately, the decision depends on your unique anatomy, health, and goals, so discussing a personalized plan with your surgeon is key.

Great question! When speaking from an aesthetic standpoint, getting everything done together is best. The human eye has a tendency to pick up on any subtle differences/mismatching and when one area of the face looks to be aging different than the others, your results can look more unnatural. Doing everything together can help ensure a harmonious, natural-appearing result. Hope this helps!

Combining multiple procedures at the same time is safe, cost effective, and faster healing time. By doing 1 procedure, the patient will have one recovery and will avoid further surgeries and costs. I always advise if you want to do all these procedures, do them in one surgery. However, some patients prefer to stage them. Other patients may not be sure about a particular part of this surgery, and it would be best for them to wait.

As a Los Angeles-based double board-certified plastic surgeon specializing in facial plastic surgery, I recommend addressing all facial rejuvenation procedures, including brow lift, upper and lower blepharoplasty, lip lift, and other adjunctive procedures simultaneously. This ensures a cohesive overall treatment, preventing any untreated areas from appearing more prominent compared to the refreshed areas. Patients who opt for separate procedures often find untreated areas look more noticeable. Of note a facelift will always include a neck lift as it is part of a facelift, but you can do a neck lift procedure alone. Additionally, at our practice (Aesthetic MdR) every facelift includes laser and skincare treatments to address incisions, skin texture, and overall complexion. I hope this information clarifies the process of a comprehensive facial rejuvenation.

Is it better to do all face procedures at the same time?
mbelmel

If you want to have a facelift, neck lift, browlift and upper and lower blepharoplasty done, it's reasonable to do them all together assuming you are healthy, and anesthesia is not an issue. You can also add laser or chemical peel resurfacing. It will most likely be less expensive and healing will occur in one time period

LiteLift® is a modified facelift that is 40% less invasive than a traditional facelift, resulting in a shorter recovery time and minimal scarring. Our board-certified plastic surgeons at Pacific Center for Plastic Surgery consider LiteLift® to be the “gold standard” in facelift techniques. Dr. Nichter and Dr. Horowitz pioneered the LiteLift® and have more than 20 years of experience using their innovative technique to deliver the best results with the least discomfort and downtime.

The minimally-invasive LiteLift® procedure smooths, tightens, and repositions areas of the face by lifting layers of underlying supporting tissues. These tissues cover and surround the deeper structures of the face and neck and include the fat pads and muscles that provide the “foundation” for your face. This mini facelift often produces more natural-looking results that often last longer than traditional facelifts.

The upper or lower eyelids can be treated alone, or if needed all four eyelids can be treated at the same time. At times, a Brow lift, Cheek Lift (mid face lift), and/or a Facelift is done along with the eyelid surgery. A cheek lift can be used along with repositioning the lower lid fat to decrease the dark depressed circles around the eye and give more fullness to the cheeks while decreasing the creases between the lower cheek and lip (nasolabial folds). Excess drooping of the eyebrows and corners of the upper eyelids may require a forehead or brow lift to correct the area.



Recovery time from a facelift varies from person to person, but patients can generally expect to be presentable within three weeks from surgery. Patients should expect swelling, bruising, and discoloration of the skin during this phase of recovery (swelling normally goes down after 48 hours; most bruising will go away within two weeks). The marks from a facelift are noticeable at first but are easily hidden with a bit of “camouflage” make-up which our experts can teach you to do.

The scars from a facelift mature within six to twelve months from the surgery date. It is during this time that the rejuvenating effects of the facelift will become apparent, and the real result will be seen.

This is a great question and one that I get asked multiple times a day by patients. In fairness I don't think there's one right answer but when able I prefer to combine these procedures. Sometimes, due to medical concerns, the length of the procedure may be prohibitive such that you'd want to split up your procedures. That's a decision for you, your surgeon, and the anesthesia team to make. However, from an aesthetic standpoint I think combining these procedures is perfectly acceptable and you get the advantage of one period of healing. The other advantage is that, assuming you were a candidate for all the procedures you mentioned, you would be addressing the upper, middle, and lower face all at once which is better for facial harmony. Hope that helps!

Thank you for your question. Although the answer is not clear-cut and it will depend on some of the characteristics of the patient undergoing the treatment, some combinations can work better then staggered procedures.

Facelift and necklift interventions usually work well together and better then doing them staggered. If there is more significant laxity along the jawline or under the chin, the facelift intervention can produce more significant skin redundancy to be removed either in front of the hairline in the temporal region or by means of a temporal lift or brow lift. This can be evaluated in consultation and would give you some guidance whether doing this interventions together is an advantage.

Blepharoplasty surgery has less interactions with the other procedures and therefore whether they are done together or separately makes very little difference for the global result. If you have clear plans to have a brow lift intervention, there is a potential advantage to doing its first because removing upper eyelid skin in may limit how much the eyebrow can be repositioned. This is because tight upper eyelid skin will not allow closure of the eyes and the brow lift would need to be toned down.

Hello @mbelmel, thank you for your question. When considering facial rejuvenation, it is advisable to do so in conjunction with the signs of aging that exist at the time and to perform the procedures in the same surgery. It is advisable to do an eyebrow lift, upper blepharoplasty, jowl and neck lift at the same time so that that same tissue can age together. Otherwise, you would experience an aging process in stages. Doing it in a staggered manner would not make sense. This is unless you have health problems such as very low hemoglobin or the doctor decides that due to a clinical condition you cannot have everything at once. To determine what the best course of action is, a personalized consultation is required, in which all aspects are considered. Best wishes!

Alan Gonzalez MD, FACS. International Federation for Adipose Therapeutics and Science” Member (IFATS), American Society of Plastic Surgery Member (ASPS), Colombian Society of Plastic Surgery member (SCCP)