Should I Lose Weight Before SMAS Facelift and Neck Lift?

Should I lose weight before SMAS Facelift and Submentoplasty Neck lift?  I am having a Face lift & Neck lift & Brow Lift is being covered buy Insurance. Should I loose weight before having anything done?

If I don't loose weight now and loose weight later will my new face be all saggy?


Doctor Answers 35

Should I Lose Weight Before SMAS Facelift and Neck Lift?

Losing weight after having a face lift will definitely contribute to more sagging of your face after the surgery. Loss of volume causes sagging whether you have a face lift or not. So I definitely recommend losing your weight before the surgery. However, the goal is to lose your weight to a level that you can comfortably maintain. If you cannot maintain the lower weight and you gain it back after surgery, you may as well proceed with the surgery and enjoy its benefits now.

The best weight loss probram is eating heathfully, meaning eliminate the simple carbohydrates and saturated fats. One effective plan is to put on your plate 2/3 vegetables (not including a potato or white rice) and 1/3 lean meat or protein. Also routine simple exercising will help, even rapid walking or using the stairs instead of the elevator. Best of luck with both your face lift and weight loss.

Savannah Plastic Surgeon
4.8 out of 5 stars 81 reviews

Weight Loss & Facelift

The success of weight loss before facelift is low. Also, if safely done, say 1-2 month, it  may take over a year to lose weight, of which most will likely come off the trunk and lower extremities.

I ask patients what has been their stable weight. This is the most powerful indicator of the the set point they are most likely to maintain. This often is higher after menopause.

On the bright side, a good number of my patients have lost weight after their facelift surgery, usually motivated by their improved appearance.

Edward Szachowicz, MD, PhD
Minneapolis Facial Plastic Surgeon
4.5 out of 5 stars 13 reviews

Weight loss before or after facelift

This is a very common question.  I tell my patients up to 10% of their body weight is fine to lose before or after a facelift.  If you are interested in losing much more, lose the weight first, then have the facelift. 

Mike Majmundar, MD
Atlanta Facial Plastic Surgeon
4.6 out of 5 stars 49 reviews

Best to lose weight first

If you lose weight, the sagging and wrinkles can reoccur even after a wonderful facelift.
Try to get your weight where you want first.

Keith Denkler, MD
Marin Plastic Surgeon
5.0 out of 5 stars 19 reviews


You should probably lose weight before your surgery, as losing weight afterward can contribute to sagging, reversing your results. It's always best to be at your ideal weight before surgery, anyway.

Michael Constantin Gartner, DO
Paramus Plastic Surgeon
4.7 out of 5 stars 140 reviews

Should I Lose Weight Before SMAS Facelift and Neck Lift?

It's a great question. Certainly losing a significant amount of weight after a facelift surgery can change the appearance of the face. Volume within the face helps keep tissues in a lifted position. Losing weight, and decreasing the volume, can cause tissues to sag somewhat.

As with any cosmetic surgery, it's best to be at a long-term stable weight. If you plan to lose a significant amount of weight, delaying the procedure can help you obtain a stable and long lasting result.

Austin Hayes, MD
Portland Plastic Surgeon
5.0 out of 5 stars 38 reviews

Weight Loss and SMAS Facelift

For almost all cosmetic procedures it is advisable to be at a realistic body weight.  If you have a facelift performed and then you lose a significant amount of weight most likely you will redevelop laxity of the skin and supporting tissues.  

Michael Sundine, MD
Orange County Plastic Surgeon
5.0 out of 5 stars 18 reviews

Weight Loss Prior to Face Lift

I recommend that my patients try to get within 10 lbs of their ideal weight prior to undergoing face lift surgery.  If they can do this, their result is just that much better.  I do have some patients that were unable to achieve that goal, for whatever reason, and we were still get able to obtain a good result.  Those good results may have even been better if they had been able to get closer to their ideal weight prior to surgery .

A face lift is a big investment of time and money, and I always want my patient to get the best possible surgical outcome. Ideally, folks do much better if they can get close to their ideal weight and maintain it prior to undergoing a major facial rejuvenation procedure.

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

Weight loss

There are two kinds of weight loss patients in my practice. Those on a plan and those that just talk about it. If you are going to lose weight by all means wait. Yes if you lose weight afterwards you will lose some of the tightening.

David A. Bray, Sr., MD
Los Angeles Facial Plastic Surgeon
4.4 out of 5 stars 7 reviews

Weight loss

good afternoon. I always advise my patients to stabilize their weight prior to the any surgery to help prevent early secondary procedures due to laxity

Michael R. Whetstone, MD
Irving Plastic Surgeon
4.4 out of 5 stars 22 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.