Thank you for your question. You are asking about how long to wait after a facelift for procedures like microdermabrasion and peels for your skin.
I can give you some guidance on how to make that decision based on my experience and how I guide my own patients. A little background: I’m a Board-certified cosmetic surgeon and Fellowship-trained oculofacial plastic and reconstructive surgeon. I’ve been in practice in Manhattan and Long Island for over 20 years. I perform the full range of face lifting surgery, from suture suspension, standard SMAS, SMAS lifting, to the more advanced deep plane face lifting with facial implants and fat grafting.
The point of explaining all that to you helps you understand the answer to your question is - it depends on two variables: how extensive is the undermining of the skin of the facelift procedure you undergo; and what is your goal with peels and microdermabrasion.
Often, people who are good candidates for face lifting surgery are also good candidates for some type of skin rejuvenation procedure at the time of surgery, which is also based on several factors. One very important factor is the level of surgery being performed. For example, if you are getting a procedure like a short scar facelift, S lift, MACS lift, or suture suspension lift, then not much of the skin is being separated from the underlying tissue. In these cases, you can probably be more aggressive with these types of treatments. If you are having a more extensive procedure, I advise you wait longer.
If you are doing a more traditional face lifting procedure, very often you are undermining not just the face, but also the neck to get a face and neck lift. Often, this area becomes numb temporarily during the healing process. The feedback of being able to tell whoever is doing the procedure about how something feels won’t be there. In a worst case scenario, if someone is doing an aggressive, let’s say an aesthetician doing an aggressive microdermabrasion on a numb area where you still don’t have a return of blood supply, then you can imagine that could be a problem in the healing process.
In general, I tell people to allow swelling to resolve to a degree which is typically within the first month, then take it very light and have your surgeon guide you. In my practice, we have all these services under one roof, from: skincare products, to a spa where we do light peels, treatments like Hydrafacials, and the full gamut of lasers from fractional to full ablative laser resurfacing, both Erbium and CO2. Within our own facility, I can be hands on and guide the skincare afterwards, but generally I tend to be more on the conservative side. I say wait a little before doing something more invasive than just using a good cleanser, a good moisturizer, and maybe something in the retinol family for some cell renewal and superficial skin renewal type of treatment. Since you did not provide a photo, the question you have to ask yourself is what are you trying to achieve with those peels and microdermabrasion - I suspect you just want to maintain a good, healthy complexion.
When you have a face lifting procedure, it is typically separate from other procedures, but you may want to discuss with your surgeon what your skincare plans would be afterwards. If your surgeon doesn’t want to get involved in that type or level of aftercare, then just get some guidance from your surgeon. Most likely your surgeon wants to be conservative, and maybe wait longer before they are comfortable. Again, it matters a lot what your outcome is, and how extensive the undermining of the skin is. Discuss that with your surgeon, and then move forward with a more comprehensive plan. I hope that was helpful, I wish you the best of luck, and thank you for your question.