Facelift Q FT, better to tighten the "shriveled raisin" then plump into a grape vs to plump "the raisin"first then tighten skin?
Doctor Answers 28
Tighten or Plump First?
Facelift or volumize, which one first?
Another approach by some is to add fat at the same time. This is usually part of their routine and it helps them to correct areas they don't feel they can correct using a facelift alone.
You may find some who forgo the facelift and do the volumizing as a standalone. I don't feel this is a naturally appearing course.
If you do decide to undergo fat injections after a facelift, you will generally require less fat to achieve your objective.
Whatever you decide make this discussion while consulting with a Specialist in your area.
Fat injection and facelift
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Every patient has difference genetics, physiology, anatomic ramifications of aging, and a unique individual beauty which can be revealed with proper vision and surgical approach.
One size fits all only works in fast food ... and maybe not even then!
Face lift - tightening or plumping first?
- Usually, fat transfers to the face are done at the same time as a face lift.
- That said, not every one wants them or needs fat grafts done.
- Discuss with your own plastic surgeon that look you want so s/he and you can decide the best approach for you.
- Always see a Board Certified Plastic Surgeon.
Facelift and restore volume during same procedure
At the same time
What to do first- Lift or Fill the Face
There are over 20 distinct fat compartments in the face. Both volume loss and volume drop (ptosis) of these compartments contribute to the aged appearance of the face. While one may dominate, most people have varying degrees of both. When both occur simultaneously, it can be difficult to tell the degree to which each is contributing to the aged look. It is my opinion that the lifting of the compartments should be done first to bring them back into a more youthful anatomical position. This allows a true assessment of volume loss and can be followed by tailored filling with fat either during the same surgery and/or after full healing has occurred.
My rationale for not filling first has to do with the variable nature of fat grafting. How much of the fat graft actually survives is variable and hard to predict. Filling prior to a lift requires more fat (due to loose, ptotic fat compartments) and may result in suspension of pre-filled area in a less than ideal position after the lift. In addition, based on the amount of fat survival, a second fill may still be needed after the lift.
In my practice, the lift is performed first followed by targeted filling of the temples, mid face and jawline (if needed) during the same procedure. After healing, volumes in the tightened and lifted compartments are assessed and minor additions can be made with fat or other non-surgical filler/collagen stimulator.
Optimal Facial Rejuvenation
Re-volumization, deep tissue repositioning, and skin tightening can be all part of a single, comprehensive facelift procedure. It does not need to be broken up into two procedures. Go visit a few ABPS certified/ASAPS member plastic surgeons or AAFPRS member facial plastic surgeons.
Best of luck!
Facelift and Fat Grafting?
Jon A. Perlman, M.D. FACS
Beverly Hills Bd. Certified (ABPS) Plastic Surgeon
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.