Can I have a facelift next year after being diagnosed with osteoporosis and taking medication?

Question

Doctor is planning on treating me with Prolia. Am I still able to have a facelift while taking that medication?

Terrence Scamp, MBBS, FRACS · Answer

Hello there Yes Prolia has a beneficial effect on your bones but it won't interfere with your facelift .At your consultation give your doctor a full list of medications you are taking as some others may be problematic with facial surgery .A facelift is a broad non-specific term . The consultation is to assess the areas of your face that have aged and advise on what can be done to treat each area .The aim is to achieve a natural harmonious rejuvenation of your face without any tell-tale signs of surgery .All the best TS

Rod J. Rohrich, MD · Answer

You should be able to have facial surgery while undergoing treatment for osteoporosis.  As with any surgery, you must discuss all your medical conditions as well as medications, whether OTC or prescribed, with your surgeon.  Be sure to inform both your board certified plastic surgery and the physician treating your osteoporosis of your plans..

Guy Watts, MBBS (Hons), FRACS (Plast) · Answer

Thanks for your question. There should be no problem with a facelift after taking osteoporosis medications. In more recent years the bisphosphonate medications that are used for osteoporosis has caused some issues with bony healing particularly after dental extractions. There should be no issues though with soft tissue surgery such as a facelift.

Jeffrey M. Darrow, MD · Answer

Many women of the age for a facelift have some degree of osteoporosis. That in itself would not affect your facelift. The medication you’ve been prescribed does have some side effects which are rare and they should be easily managed at the time of your facelift. Check with your primary care doctor and get clearance from him/her.   Best wishes.

Dilip D. Madnani, MD, FACS · Answer

Yes, you can definitely have a facelift after being treated for osteoporosis. You should discuss the timing of the medication with your prescribing doctor and your facelift surgeon, otherwise, there are no issues with being on that medication

Stephen Prendiville, MD · Answer

I would estimate that at least half of my facelift patients have some degree of osteoporosis and I am unaware of any contraindication for facelift surgery while taking Prolia.

Philip J. Miller, MD, FACS · Answer

Yes, you can have a facelift provided your osteoporosis is stabilized. With a facelift, the neck skin would be elevated, tightened and the excess skin removed. The jowls (which are hanging down on either side of the jaw line near the mouth) would be eradicated and symmetry would be improved. The sagging cheeks would be lifted. There is no doubt you would look significantly younger, and more fresh with long lasting results.
Sincerely, 
Philip J. Miller, MD, FACS
Double Board Certified Facial Plastic Surgeon

David Gilpin, MD · Answer

Thank you for your question! Congratulations on considering having a facelift.  It is a wonderful procedure and can provide you with a natural long-lasting result.  As long as you are on a steady-state dose of your osteoporosis mediacation, you should be okay to have a facelift.  Be sure to discuss this with your surgeon, as well as all your other medications. A facelift helps to restore the sagging and loose skin, restore the jawline, and help to tighten the neck is well. The incisions for a well-executed facelift are hidden around the ears and within the hairline. The result should be a very natural and refreshed appearance.  We typically will say that a facelift should “turn back the clock” about 10 years.I would consult with a board certified facial plastic surgeon or plastic surgeon who specializes in facelifts and facial rejuvenation procedures. Here you will have a full evaluation and be able to discuss your concerns and goals for surgery.  I hope that this helps!-David Gilpin

Ronald Schuster, MD · Answer

Osteoporosis will not have any effect on your healing from faceift surgery. treatment for osteoporosis is important in order to maintain and improve bone health and to avoid fractures. Facelift surgery involves procedures performed on the soft tissues of the face. Good nutrition and appropriate vitamins and suppleent can help healing from facelifts. A good surgeon will be able to help you with this. Good luck.

Jonathan Kulbersh, MD · Answer

Yes, once you have stabilized your osteoporosis, you can have a facelift. A significant degree of sagging is best remedied with a full rhytidectomy (facelift) which will have long lasting results. With volume loss in the mid face, this can be improved with fat grafting done during the facelift which can also help asymmetry. I do recommend a neck lift with platysmaplasty to fix any sagging of the chin and neck, plus a chemical peel to improve the wrinkling and stimulate the production of new collagen. Microneedling could help improve the scars. I hope this helps!

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