What are the pros and cons of a liquid facelift?

Doctor Answers 13

Advantages and Disadvantages of Liquid Facelift

Thank you for your question. Some of the advantages of a Liquid Facelift include minimal or no anesthesia required (ie general aesthetics and hospital admission is not required), immediate results without any downtime, can be performed within a relatively short period of time, produces more natural results with fewer complications and risks compared with invasive surgical facelifts (eg, infection, bleeding, clotting, etc). The disadvantages include a shorter longevity for the treatment (typically lasts for up to 2 years in general terms) and not effective in addressing heavy jowling / lower face sagginess.

I recommend that you consult with an experienced and well trained practitioner to ensure your safety and to achieve optimal results.

Best wishes.


The benefits of a liquid lift is: little to no downtime, little discomfort, relatively quick procedure, done with local anesthesia, and no risk of scarring.  The downside to it is: doesn't last as long as a traditional facelift, and doesn't lift very saggy skin.  Always seek treatment from a qualified professional.  Good luck!

Jennifer Trent, MD, FAAD
Sarasota Dermatologic Surgeon
5.0 out of 5 stars 4 reviews

Pros and cons

The "liquid" part requires :

GOOD: No anesthesia. less downtime. relatively quick to perform. quick overall recovery. More natural.

BAD: Not long lasting. Cannot lift very saggy faces. 

Facial surgery is SURGERY: So longer recovery, increased pain, more downtime. Can be more effective, but may lead to "overdone" faces occasionally.

Best, Dr. ALDO

Aldo Guerra, MD
Scottsdale Plastic Surgeon
4.9 out of 5 stars 199 reviews

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“LIQUID FACELIFT” is a misnomer.  A facelift is a surgical procedure or procedures
to correct sagging, redundant facial tissue such as jowls,  hanging necks,  brow 
ptosis, etc.  Attempts to correct these deformities  with fillers, or neurotoxins, or 
noninvasive “tissue tightening ” technologies are usually disappointing.

"LIQUID TUNE-UP" would be a more appropriate term for the use of fillers in 
patients that are not ready for surgical facelift. Some practitioners without
surgical expertise are pushing expensive non-surgical options in patients that
really need surgery to get a respectable result.  !f you are seeking fillers, it would be prudent to see a surgical specialist with expertise in all options, that can give you an honest evaluation.   Wasting thousands on fillers when you need surgery, or having surgery before you need it, can be very disappointing.

Luis Villar, MD, FACS
West Palm Beach Plastic Surgeon
4.8 out of 5 stars 9 reviews

Pros and Cons


-Restores facial volume lost from fat atrophy and bony atrophy with little downtime          

- Does not involve a surgical incision or scar          

- Easily completed in an office under topical/local anesthesia


-Temporary result, regardless of filler material or fat transfer           

-Doesn't truly lift the underlying structures of the face           

-Doesn't address poor jawline and neck contours

Injectables - Technique and Technician Matter Most

The face ages in three ways: Sags and bags, Lines and Hollows, Tone and Texture. When we are young our face is like an inverted triangle, with the fullest part being from the forehead to the bottom of the nose. As we age, the triangle flips upside down with our upper face being the most narrow. A "liquid facelift" is achieved with injectables like Voluma, Radiesse, and Juvederm plus Botox for smoothing lines in the forehead, around the eyes, lip and chin areas.  The first step to determine if a liquid facelift is right for you is evaluating your face to determine where your facial aging in occurring. Often times patient complain of nasal labia folds (the lines that form from the nose to the mouth area), fallen or sunken cheeks, hollowed under eyes and temples, thin lips and weakened jawlines. The key to a liquid facelift is keeping it natural looking and not getting overfilled, therefore technique and the skills of the injector make a significant difference. We use mostly micro-cannulas for our injections, which minimize bruising and allow for smooth contouring of the face. There is an Abraham Maslow saying, "If all you have is a hammer, then everything looks like a nail." In this case it applies to choosing a plastic surgeon to access your facial aging process and determine a course of action. Often times, a patient is not a good candidate for a liquid facelift and needs to consider an alternative procedure such as a non-incisional Radio Frequency facelift or a traditional facelift. While fillers can be a fantastic solution for staving off the aging process, eventually, you will want to know your options for continuing to look natural as well as youthful. 

Mark Anton, MD, FACS
Newport Beach Plastic Surgeon
5.0 out of 5 stars 35 reviews

Liquid Facelift

A liquid facelift uses dermal fillers to add volume and smooth the skin. Fillers have varying lifespans. For example, Juvederm and Restylane both are hyaluronic acid fillers and generally last no more than a year. Radiesse, a calcium hydroxylapatite filler, can last a year or more. To maintain the volume these fillers add, patients need to go in for touch ups at least once every 12 months, if not sooner, which can be costly. A pro is that it allows you some of the results with no downtime or cutting. 

Edward E. Dickerson, IV, MD
Fayetteville Facial Plastic Surgeon
4.7 out of 5 stars 115 reviews

Liquid Facelift depends upon your face

The "Liquid Facelift", is a grouping of injectable products that lift, sculpt, smooth and contour the face. Those individuals who have lost facial volume, consisting of fat, muscle and bone mass in the mid-face have remarkable and natural looking refreshed appearances after the "Liquid Facelift". The final results are dependent upon the products used and the artistry of the injector. Those individuals who have a lax neck and jaw tissues will benefit minimally from facial fillers. They will require a facelift to lift, smooth and tighten the hanging skin and muscle and often will eventually require additional volume replacement with fillers.

When fillers such as Radiesse, Voluma & Juvederm are combined with Botox, for the upper face, the results are even more dramatic. Once again, Botox should be placed in such a manner as to relax the overly active forehead muscles to yield a natural appearance. Botox will produce a smoother upper face; however, leaving animation and some motion to the forehead muscles is optimal.

There are very few complications or cons when Radiesse, Juvederm, Voluma and Botox are used with an artistic hand and plastic surgeon's eye.

Pros and Cons of a liquid facelift.

The advantages of a liquid facelift is that is it quick, relatively painless, performed awake, recovery only a few days, and low complication risks. However, the disadvantages are that the results are temporary (lasts 12-18 months), will require more injections as the filler fades over time, and over the long term will actually be more expensive than the surgical procedure.

Hope this information helps, best of luck!

- Dr. Roger Tsai

Roger Tsai, MD
Beverly Hills Plastic Surgeon
5.0 out of 5 stars 14 reviews

Liquid Facelift

Less downtime with minimal recovery 
no anesthesia
more subtle results which many patients prefer

less effective at reversing gravitational aging of the face
does not last as long

John L. Burns Jr., MD
Dallas Plastic Surgeon
4.7 out of 5 stars 41 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.