Can I Have a Facelift with Botox in my Face ?

Question

i had botox in may, a month ago, so can i have a facelift tomorrow for example ? surely the surgeon needs to see my sagging areas first before a facelift.

Toby Mayer, MD · Answer

This should be no problem as the facelift is removing the excess skin you have and will not be affected by the Botox.

Dilip D. Madnani, MD, FACS · Answer

The short answer is 'yes'. 

	Botox is most frequently used to treat lines and wrinkles on the forehead, glabellaand crows feet area around the eyes; areas on the upper face. 

	A facelift addresses the lower face and neck laxity or 'sagging skin' of the jowls and neck.  The areas are separate and so treatment of one area does not affect the examination or treatment and results of the other area.

Barry L. Eppley, MD, DMD · Answer

There is no contraindications between Botox treatments and facelift surgery. Botox is a muscle/facial expression weakening agent while a facelift is about neck and jowl tissue lifting and tightening. I have done Botox injections right before, as part of a facelift, and immediately afterwards. One does not affect the other.

Kris M. Reddy, MD, FACS · Answer

You generally do not have to wait for the botox to wear off prior to having a facelift. Ensure your surgeon knows of any and all treatments that you have had including botox and dermal fillers so he/she can plan the surgery appropriately.

Michael Bowman, MD · Answer

Generally, the upper face is the area treated by Botox, and the lower face and neck is treated by the facelift.  Since the two treatments focus on different areas of the face, that prevents problems.  

	 

	However, even if the treatment areas overlap (with Botox used in the lower face), there will not be a problem.  If anything, I would probably recommend you continue your Botox treatments in the future to help maintain the results of your facelift procedure. 

	 

	In the setting of a blepharoplasty or brow lift, you will want to discuss this with your  surgeon as that may impact the surgical plan.

Steven Wallach, MD · Answer

You certainly can have a facelift after you had Botox. It shoudl not significantly impact the result in anyway.  A browlift or eyelid procedure is another story.

Todd C. Miller, MD · Answer

Botox addresses dynamic wrinkle lines in the face, most commonly around the eyes and in the forehead. It is very reasonable to do a facelift with a recent history of Botox. If a brow lift or eyelid lift is planned I would prefer to wait.

Andrew B. Denton, MD · Answer

The presence of botox in the forehead, between the eyebrows and around the eye's should have not influence your decision to proceed with a facelift.

Moneer Jaibaji, MD · Answer

Thank you for your question. If the botox was was given to the forehead and glabellar area or even to crow's feet, I see no reason why you can't get face lift. I would ask a paint to wait if brow lift or blepharoplasty is needed.

Francis R. Palmer, III, MD (retired) · Answer

This is done all the time and there's no reason that you couldn't have a Face Lift after having Botox injected.

Can I Have a Facelift with Botox in my Face ?

Answers (13)

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