Facelift While Botox or Fillers Still Active?

Is it safe to have a facelift when Botox or cosmetic fillers are still in effect, or would it be better to wait until they have worn off? Will the Botox or filler have any effect on the results?

Doctor Answers 57

Facelift while Botox or fillers still active?


Two questions here - BoTox & fillers.

I see no reason to not have a Facelift with a "BoTox" affect still in place.

Fillers - you can have a surgical procedure BUT it helps the doctor know what to do - customize your procedure - if he knows what you really look like. If you have some pre-filler pictures that are relevant, it would help. You are commissioning art work - the artist should have a good idea what the canvass looks like - right?

San Francisco Plastic Surgeon
4.2 out of 5 stars 11 reviews

Inform your surgeon about Botox or fillers before facelift

An experienced plastic surgeon should account for the presence of Botox and facial fillers when assessing a patient for facelift or necklift procedures. You should definitely tell your surgeon that you have been administered these temporary treatments on your first consultation.

Even with a facelift, you will still require further Botox or facial filler treatments in the future.

Raffy Karamanoukian, MD, FACS
Los Angeles Plastic Surgeon
4.8 out of 5 stars 94 reviews

Facelift when Botox and Fillers are still in place

Great feedback from the panel so far. We echo the following.

1. Make sure that you know exactly what was injected previously if the practitioner doing your surgery is different from the one that did the injections.

2. Make sure that the surgeon knows what you look like without the fillers (either wait until they are gone or review photos) so that the proper surgical plan can be created.

Harold J. Kaplan, MD
Los Angeles Facial Plastic Surgeon
4.3 out of 5 stars 6 reviews

OK to Have Facelift With Fillers and BOTOX

It really isn't necessary to wait for the BOTOX and fillers to wear off before proceeding with your Facelift. In the vast majority of circumstances, your surgeon can contour well even with the injectables on-board.

Paul C. Zwiebel, MD
Denver Plastic Surgeon
4.6 out of 5 stars 39 reviews

Probably best to wait

It is interesting that you ask this question as I recently met another patient with the same situation. She was treated in Boston and recently moved to San Francisco after having had Botox and fillers. During the consultation, she described her main areas of concern, including the areas she had been treated with Botox and Juvederm. Overall, I felt she was a good candidate for the procedure, but advised her that I cannot give her my best evaluation of her face since there are areas that have been "masked." I advised her to followup in 6 more months and also bring a recent picture of herself prior to the treatments to give her the best plan of action.

Charles K. Lee, MD, FACS
San Francisco Plastic Surgeon
5.0 out of 5 stars 15 reviews

It is safe to have face lift with Botox and Fillers still in effect

Before and after pictures of face lift results

Botox and fillers, if properly placed in recommended amounts will not effect face lift results after a 6 week waiting period. The waiting period is primarily to allow swelling and inflammation from the filler injection to subside.

A surgical procedure such as a face lift, in my experience may lessen the duration of the Botox efffect, and you may need repeat Botox injection sooner after your face lift than you would have if you had not had surgery.

Share Injection History With Your Surgeon

It’s not unusual for prospective facelift patients to have a history of using Botox and injectable fillers. These agents are frequently used as temporary maneuvers when patients initially experience aging.
Botox and injectable fillers aren’t contra indications to face lift surgery. However it’s important that the surgeon understand how they’ve been used and how they’ve affected facial aesthetics before proceeding with surgical intervention.
For these reasons, it’s important that the surgeon understand the patients past history of Botox and filler usage. It’s also important that the surgeon review patient pictures prior to their Botox and injectable filler usage. By taking these steps, facelift surgery can provide excellent results in patients who have utilized Botox and injectable fillers in the past.

Richard J. Bruneteau, MD
Omaha Plastic Surgeon
4.9 out of 5 stars 194 reviews

Facelift while results of Botox and fillers still present

While it is possible to have the facelift done while the Botox and fillers are active, it would make it a little more difficult for your surgeon to assess your concerns and determine the extent of correction required during your surgery. For this reason, it's probably best to wait, just so that your surgeon can get a better understanding of what is needed.

Michael Constantin Gartner, DO
Paramus Plastic Surgeon
4.7 out of 5 stars 137 reviews

Facelift after botox or filler

Yes, a facelift with botox and fillers can be done safely. Many of my patients start with Botox or fillers and end up getting facelift later. Think of a facelift, botox, and facial fillers as different ways of improving your facial features. An experienced facial surgeon can easily assess and help you to have a great result.

Kevin Sadati, DO
Orange County Facial Plastic Surgeon
4.9 out of 5 stars 204 reviews

Facelift, Fillers and Botox combination OK

Facelift, Botox and Fillers are Synergistic
No problem. You age by three factors - sagging (through gravity and time), loss of volume (counteracted by fillers), and skin texture (determined by environmental and genetic factors). Your fillers should enhance your effect of the lifting if placed appropriately by addressing one of the causes of aging. The Botox will decrease the effects of muscle pull as you heal and should not compromise the results of your procedure.

Larry S. Nichter, MD, MS, FACS
Orange County Plastic Surgeon
4.9 out of 5 stars 154 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.