Should I lose my 15-20 lbs prior to my facelift? (Photo)
Doctor Answers 27
If you want to lose it, lose it before the procedure.
The best scenario is that you are at your “best weight” prior to the facelift. Remember that 5 pounds of weight loss is distributed throughout your body, so losing 5 pounds will probably not make a difference. 15 to 20 pounds, though, will mean more loss from your face. Losing weight after your procedure might lead to more excess skin. If you are considering fat transfer at the same time as the lift and you lose weight afterwards, you might still need more fat to give you full midface replenishment.
Should I lose my 15-20 lbs prior to my facelift?
"Jowls” these are sagging facial tissues and an indication for some form of a SMAS facelift. The underlying SMAS layer, of the face, must be dissected, lifted, trimmed and re-sutured (not merely folded or suspended with threads or sutures that will not last). The excess skin is then removed and the facelift incisions closed.
My most popular facelift is the minimally invasive, short incision facelift that has all the benefits of more invasive facelifts (traditional, mid-face, deep plane, cheek lift and subperiosteal facelifts) but with these added benefits:
- very small incisions
- minimal tissue dissection = less bruising and swelling = rapid recovery ( several days instead of weeks or months with the more invasive type facelifts mentioned)
- can be performed in 90 minutes or less, with or without general anesthesia
- no incisions within the hair = no hair loss
- excess fat can be removed
- excess skin removed
- cheeks, chin and jaw line can be augmented with dermal fillers (I prefer Restylane Lyft) or facial implants
- most patients fly back home to parts all over the world in as little as 3 days post-op
Hope this helps.
Face lift - should I love weight?
- You have a lovely family!
- Here is the weight issue -
- If you lose weight and can't keep it off, that can affect your result.
- Losing too much weight, can leave tissues loose, needing an early touch-up.
- What about losing about 7 pounds - reasonable without a crash diet in a few months and focus on staying there.
- If you then lose 7 pounds after surgery - it will have little effect on your result.
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Right for you
Of course, weight loss makes a difference to your overall health and well being which can only be a good thing. Moreover, a BMI of over 30 makes all elective surgery slightly more complex and dangerous and a facelift is no exception to that. In terms of advantageous effects on your facelift facial fat is often preserved despite significant weight loss but not always. I think the key factor should be to attain the weight you are happiest at and confident of remaining at before a face lift and then you will get the most effect and longevity out of your surgery. For what its worth, further weight loss after face lift can be replaced simply as an outpatient via fat or filler injections. Hope that helps.Adam Goodwin
Weight loss doesn't always show on one's face
Goal Weight is Ideal
Weight Loss Prior to Facelift
If you are trying to lose weight, it's best to do that prior to your operation, and then maintain a stable weight with a healthy diet going into surgery. That way you'll have adequate nutrition stores for adequate healing. Best of luck!
-Dr. Michael Epstein
MAE Plastic Surgery
Weight loss and facelifting
Reach Your Goal Weight Before Surgery
If a patient is in the midst of a weight loss, I typically recommend that we don't move forward until that patient is at a comfortable weight. Although a fluctuation of a few pounds isn't likely to significantly affect the appearance of your face, a 15-pound weight loss could leave you with loose skin and diminished results. To be on the safe side, lose the weight beforehand and be sure that you can maintain the loss before going through with your facelift.
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.