Is it possible to have a Liposculture and face lifting at the same time/procedure? What are the risks?... if any.

Is it possible to have a liposculture and face lifting at the same time/procedure? What are the risks?... if any. Thank you Primavera13

Doctor Answers 11

Liposuction, Facelift

Yes, liposuction can  be done at the same time as a facelift.  I do this commonly in my practice as I am often transferring fat to the face to add volume.  Some factors must be considered however.  I limit areas of liposuction when paired with additional surgery.  I use tumescent anesthesia for both procedures which has to be limited based on a number of factors including the patient's weight.  If you are planning general anesthesia this raises additional issues.  An experienced liposuction surgeon will most likely be aware of these factors.  Find someone you trust for an in depth analysis and consultation.

Kansas City Facial Plastic Surgeon
4.8 out of 5 stars 46 reviews

Face lifting and liposculture

hello. thanks for the question, very interesting. the number of procedures performed in a surgery will depend on many factors, the most important of these is your health.
facelift can be performed with liposuction in nearby areas and this potentiates the results.

Tania Medina de Garcia, MD
Dominican Republic Plastic Surgeon
4.5 out of 5 stars 417 reviews

Liposuction and facelift surgery are frequently performed together

Absolutely. Liposuction is a nice complement to facelift surgery and can create additional contouring and skin tightening in properly selected patients. The only additional risk that liposuction adds is the potential for a contour deformity if fat is removed too aggressively or in an inconsistent fashion.

Stephen Weber MD, FACS
Denver Facial Plastic Surgeon

Stephen Weber, MD, FACS
Denver Facial Plastic Surgeon
4.9 out of 5 stars 129 reviews

Is it possible to have a Liposculture and face lifting at the same time/procedure? What are the risks?... if any.

Absolutely. This is termed a volumetric facelift.

There are always risks with any procedure, I'm afraid.  Thankfully these can be minimised by seeking the right surgeon, with the necessary expertise and by preparing yourself,  too (eg. stop smoking, if you smoke, stop certain medication (blood thinners), control blood pressure). Generally, risks depend on the method of anaesthetic, commonly general anaesthetic and the surgery (depending on what type of facelift you have):
Abnormal scarring
Making you too tight
Making you not tight enough
Wound healing delays
Nerve injuries leading to patches of numbness and patches of weakness
Incomplete removal of all your lines and wrinkles
Areas of hair loss near the scars that sometimes need to be put into the hairline
A higher hairline than before
Areas of rippling around the cheeks where the muscles are tightened
Revision surgery with time (eg. weight gain or weight loss)
The fact that surgery does not last forever and the exact length of time that surgery lasts cannot be predicted - the surgery can turn the clock back, but it doesn't stop it ticking

Additional complications from liposuction,  in the area where the fat is borrowed from (infection, bruising, swelling, contour irregularity) and also the risks of where the fat is put into (as with liposuction and over-correction, under-correction, asymmetry, more fat grafting).

I talk around most of this when I see patients for this sort of procedure. 

I would recommend you see an accredited plastic surgeon who can talk you through which facelift is suitable for you and a bit more around the risks, specific to the technique.

Good luck. 

Alok Misra, MBBS, FRCS(Plast)
London Plastic Surgeon
5.0 out of 5 stars 3 reviews

Facelift and liposuction at the same time.

Facelift and liposuction at the same time are best done together since fat can be removed under direct vision and more skin can be removed. The risk of this should be no more than a facelift alone and is primarily hematoma. 

Toby Mayer, MD
Beverly Hills Facial Plastic Surgeon
4.8 out of 5 stars 34 reviews

Fat grafting & facelift

It is certainly possible to combine these two modalities if a patient is a suitable candidate. We presented our experience with this combined approach in nearly 500 patients, and many surgeons have begun incorporate this into their approach. The facelift addresses skin excess and laxity, whereas the focused micro cannula liposuction and fat grafting help address the changes that occur in terms of fat distribution in the aging face.  Liposculpture can smooth the jowls, perioral mounds, and under the chin effectively.  Some risks of focused liposuction include poor blood flow to/damage to the skin, contour irregularities or asymmetries, damage to surrounding structures, etc. As with any procedure, find a board-certified surgeon who is experienced with the techniques involved!

Erik Hoy, MD
Warwick Plastic Surgeon
5.0 out of 5 stars 2 reviews

Yes it's possible and done frequently

There are many advantages to cosmetic procedures.

Sometimes one procedure complements the other.

Sometimes procedures are combined to save recovery time and costs.

Best of luck,

Mats Hagstrom, M.D.

Mats Hagstrom, MD
San Francisco Plastic Surgeon
4.8 out of 5 stars 19 reviews

Liposculpture and Facelift combination

Yes it is possible to do a lipoesculpture and a facelift during the same surgery. There will be factors that will determine if it can be done such as healthy history, blood work results, and the extent of the work needed to be done. The best candidates are healthy, in a good weight range, good blood results and realistic expectations. 

Alfonso Gonzalez Cepeda, MD
Mexico Plastic Surgeon
4.0 out of 5 stars 26 reviews

Fat grafting and Face lifting

I think it is a great idea to combine fat grafting and face lifting during the same procedure, and I do this quite often. You are volumizing the face at the same time as tightening musculature and removing excess skin.  The two procedures work beautifully together and result in one recovery and one anesthetic which is nice for the patient.  

The downside to combining both procedures is that you add additional operative time/expense and you tend to be more swollen for several weeks.

Hope that helps!   

Jenifer L. Henderson, MD
Silverdale Facial Plastic Surgeon
5.0 out of 5 stars 13 reviews

Face lifting and other procedures

Time is the factor.  I like to get the facelift patient off the table as soon as possible to prevent any more swelling.  A few hours of liposuction before for after can lead to unnecessary swelling.  Just my bias.

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.