Is It Safe to Have Facelift and Liposuction at Same Time?

I am considering Facelift/Neck Lift procedures and Liposuction of abdominal area. I am 63 white male in good shape, 6'1", 180 lbs. Is this too much for one surgery?

Doctor Answers 23

Facelift or necklift and concurrent abdominal liposuction

Although it seems like a good idea to have everything performed at the same time under one anesthetic session, the longer the case, the higher the potential for complications to occur. These complications can be more that just problems with the surgical site, but, also major complications such as infection or thrombosis that would require hospitalization.
Not all facelifts require the same amount of surgical time and not all liposuction does either. At 6'1" and 180 lbs, I would guess that your abdominal liposuction would be minimal. You may want to consider having this procedure after you have recovered from your facelift and necklift. I think you will be pleased to know that your abdominal liposuction can be performed under local (tumescent) anesthesia and your recovery should be fairly rapid.

Chevy Chase Facial Plastic Surgeon
4.7 out of 5 stars 30 reviews

Safety concerns combining liposuction with a facelift

Hi David135 - A moderate amount of liposuction with a facelift should be fine. The amount of time in the operating room sounds like it will be around 6-8 and if you're in good shape as you indicated you should be okay. I would strongly suggest an overnight stay in the hospital at which you're having your procedures. This will help with the immediate recovery and pain control. If you're considering a lot of liposuction (entire abdomen with hips) then I would separate the two procedures. Good luck!

Jeffrey E. Schreiber, MD, FACS
Baltimore Plastic Surgeon
5.0 out of 5 stars 202 reviews

Liposuction and Facellift Safe?

All procedures have some risk, but multiple procedures done together create a risk that probably is greater than the sum of the independent risks. These are elecitve procedures and you should not compromise your health for convenience. The safest manner in which to proceed is to do the surgery that would give you the improvement in your body's condition which displeases you the most. Then heal and when fully recovered, consider having the second procedure several months later.

Ronald Shelton, MD
Manhattan Dermatologic Surgeon
4.9 out of 5 stars 38 reviews

Combining facelift and liposuction surgery

Combining surgeries does theoretically increase the risk of complications, especially if the "magic number" of 6 hours is exceeded.

Yet there are many series of very experienced surgeons which show very high safety profiles with combined procedures. We have patients sign a separate consent form indicating that the risks of combined procedures may be greater than the procedures performed individually (because of court precedent). However, I'm not sure myself that this is truly the case, especially if the surgeon is conservative and if only suitable candidates are chosen. Complicated issue, as you can see.

Still, every patient is different. There are patients in whom I would offer combined facelift and liposuction procedures, others who were less healthy where I would certainly stage them. The health of the patient, the magnitude of the facelift, the magnitude of the liposuction would all factor in.

A straightforward facelift with a little liposuction on the abdomen in a younger patient is completely different from a facelift with numerous ancillary procedures and full body liposuction in a less healthy heavy set patient. One would be reasonable, the other probably not.

Brent Moelleken, MD
Beverly Hills Plastic Surgeon
4.9 out of 5 stars 178 reviews

Combining facelift and abdominal liposuction?

I would not personally advocate this combination of procedures. In my opinion, you are increasing the risks by extending the surgery to closer to the maximum safe time for elective outpatient cosmetic surgery - 6 hours. I think your surgeon can also do a better job for you on each area by separating them and really focusing on each individually.

Richard P. Rand, MD, FACS
Seattle Plastic Surgeon
4.8 out of 5 stars 67 reviews

Facelift and lipo at the same time

This really depends on your current health and medical history. It can be safe to have these done at the same time, but you would need to discuss this with your plastic surgeon and anesthesiologist, after having bloodwork and a physical examination performed.

Michael Constantin Gartner, DO
Paramus Plastic Surgeon
4.7 out of 5 stars 140 reviews

Facelift and lipo

It sounds like you are in good health, so undergoing lipo of your abdomen and a facelift at the same time should be no problem and should not make for a very difficult recovery.

Ronald J. Edelson, MD
San Diego Plastic Surgeon
5.0 out of 5 stars 27 reviews

Facelift and abdominal liposuction

Hi David,
If you are healthy and your a surgery is not longer than eight hours total, I would suggest you have both procedures performed at the same time. If you are planning to have a facelift and abdominal liposuction, I would not remove more than 5 L of abdominal fat. 
The benefits include one anesthesia and one healing period. The risks include longer anesthesia time with its associated risks. However, if you're considering having both procedures performed eventually, the overall risks of one procedure compared to two procedures are probably about the same. Good luck.

J. Timothy Katzen, MD, FACS
Los Angeles Plastic Surgeon
5.0 out of 5 stars 206 reviews

​Male Facelift and Liposuction

In my practice we routinely perform combined facelift and liposuction. There are many factors to consider to assure a safe and wonderful outcome , including the patient’s health and the length of total surgical time. It is imperative that the surgeon has skills and experience to carefully assess patient’s existing anatomy, create a proper surgical plan and then execute the plan in a precise and safe fashion. Make sure to check out your surgeon’s credentials and track record, take a look at he before and after photos to make sure the surgeon can deliver on his promises.

Boris M. Ackerman, MD
Newport Beach Plastic Surgeon
4.7 out of 5 stars 57 reviews

Face lift and liposuction

The safety profile is primarily dependent on the amount if time it takes to do the surgeries. The combination of procedures you have mentioned is less of a problem than the time needed to complete both procedures.

Raj S. Ambay, MD
Tampa Plastic Surgeon
4.3 out of 5 stars 35 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.