Facelift and Laser Resurfacing at Once Recommended?

Laser resurfacing in combination with facelift has traditionally been reserved for the periorbital area.  The periorbital area has a robust blood supply, is often a problematic area for wrinkles (smokers lines), and is not "undermined" during the facelift process.  Areas where the skin has been undermined should generally be avoided for this combination procedure.  If full face laser resurfacing is attempted then thick facelift flaps can provide a better blood supply to undermined skin:  composite flap technique.  Also, areas of undermining should be treated very conservatively or with a fractionated laser.  This technique should absolutely be avoided in smokers or patient with impediments to wound healing:  diabetics, smokers, and the elderly.

A facelift will only address facial sagging, so I usually offer a combination of services to rejuvenate a patient's face, based on need. Fat grafting restores volume. Chemical peels and laser resurfacing can remove most wrinkles. Fillers may be needed in some cases. Whether laser resurfacing and a facelift should be done simultaneously will depend on the quality of the patient's skin and health. If you feel confused by the conflicting advice, I'd suggest talking to the former patients of the facial plastic surgeons you consulted. Or, just wait a few months after your surgery to do a resurfacing or peel. I hope this helps.

Laser can be done on certain parts of the face at the same time as a facelift.  I prefer not to perform a full face kaiser at the same time, however.  I think it is too much trauma for the skin to undergo at the same time and can increase the risk of would healing problems.