Lost Weight, Lost Fillers. Would the Same Happen if I Were to Have a Facelift?

Juvederm in nasolabial folds, lips, betw.eyebrows + Botox betw. & above eyebrows. 2 y. later! Botox is gone, yet lips were still FULL, nasolabials same as when it was done, surprisingly. I was just a put on a med that has weight loss as a side effect. Lost 20 lbs in 2 months and suddenly all the Juvederm is PUFF-gone. If I were do fillers again, and keep losing weight, would the same happen? Same question applies to a face/neck lift I'm contemplating.Sorry for poor syntax,have 500 characters

Doctor Answers 22

Weight Loss and Facelift

The facelift operation, especially when the neck is properly addressed, gives the best improvement when your weight is relatively stable.  If you are planning weight loss of greater than 10% of your body weight, you should complete that prior to a facelift.  That being said, patients who lose weight after a facelift may lose some volume in their face, but this will not reverse the benefit of the lift.  For example, the jaw and neckline will still be improved, and the volume brought up toward the cheeks will still be there, but in a smaller quantity.

With respect to fillers, most will say that they last about a year and botox about 3-4 months.  This is just standard of the common reversible fillers like Juvederm or Restylane.  There are other longer lasting fillers, and these may last longer, but do not change with weight loss.

Best of luck in this process!

Phoenix Facial Plastic Surgeon
4.9 out of 5 stars 52 reviews

Weight loss before not after Facelift is important

I agree with other posts that loss of filler and Botox is not your problem-they lasted for an appropriate time.

Facial skin laxity after weight loss is best addressed with a Facelift-the excess skin must be removed and lax skin tightened.

It is very important that you achieve your planned ideal weight before your Facelift. If you lose weight after your Facelift, facial laxity will return.

Facial rejuvenation options after weight loss

After losing a lot of weight, you may want to consider a facelift and necklift to address the significant jowling and sagginess that can occur to the face.  A facelift can last many years, it can be done as an outpatient procedure, and the scars can be very well hidden.  Fillers and botox can only do so much, and I've found that patients who have lost a lot of weight get a better "bang for the buck" with a facelift and necklift.  It's hard for me to give you better suggestions without a picture. 

Jeffrey E. Schreiber, MD, FACS
Baltimore Plastic Surgeon
5.0 out of 5 stars 202 reviews

Best to be at ideal body weight for face/neck lift

In our experience Botox and Restylane only last four to eight months depending upon where the product is placed. Fillers and Botox do not tend to last longer or shorter with weight gain or loss.

It is important before undergoing a face/neck lift to be at your ideal body weight.  

William Portuese, MD
Seattle Facial Plastic Surgeon
4.8 out of 5 stars 143 reviews

Weight loss after fillers and facelift

Weight loss can affect your appearance, and you may find that tissues sag even after you've  had a facelift. However, you'll always look better than if you hadn't had a facelift done in the first place. For fillers, results tend to last about 6 months to a year, and weight loss doesn't usually affect the filler itself. 

Jerome Edelstein, MD
Toronto Plastic Surgeon
5.0 out of 5 stars 176 reviews

Facial Rejuvenation After Massive Weight Loss

The key element of facial rejuvenation after massive weight loss is one will need to have a “Lift &Fill” facelift with more filling of the deflated deep malar compartments for facial rejuvenation and lifting of the SMASectomy. One can also anticipate removing more post auricular skin so this may require alteration of the post auricular incision.

Rod J. Rohrich, MD
Dallas Plastic Surgeon
4.9 out of 5 stars 63 reviews

Plan weight before face lift not afterwards if possible

Stable weight best for most cosmetic surgery including facelifts
In general it is best to be at your stable long term weight to reduce the probability for revision surgery. It makes little or no sense to loose or gain weight for a surgical procedure including Facelift unless you can maintain that weight for many years or it is a relatively small amount (plus or minus 5 pounds). This is because if you lose fat that is supporting your facial skin it will tend to sag especially if you don't have good skin elasticity (most facelift patients). In your case if you tend to lose fat in your face with weight loss than indeed there may will be some additional sag of your skin. On the other hand losing weight to a healthier one makes sense followed by your facelift and necklift.

Larry S. Nichter, MD, MS, FACS
Orange County Plastic Surgeon
4.9 out of 5 stars 154 reviews

Face change after weight loss

Although it is hard to tell without seeing your pictures what you are describing is likely related to loss of facial fat (related to weight loss) as opposed to sudden loss of your fillers

Sam Naficy, MD, FACS
Seattle Facial Plastic Surgeon
4.7 out of 5 stars 221 reviews

Fillers vs Facelift

Losing weight can cause your face to appear droopy or saggy.  Fillers add volume to folds and hollowness.  When you lose weight, it's fat, not hyaluronic acid.  Most temp fillers last 8 - 12 mos depending upon where they are placed.  Filler around th emouth area tends to metabolize quicker than the cheekbone area.  Botox commonly lasts 3 - 4 mos.  So no doubt that your face has lost fullness.  Fillers are maintenance treatments, however; losing fat made the lack of volume worse.

Mitchell F. Grasseschi, MD
Chicago Plastic Surgeon
4.3 out of 5 stars 6 reviews

Duration of fillers in the face

As the others have said, fillers like Juvederm last 6-8 months in the lower fac max and Botox 4 months.  Whatever the situation, it is best to be at your ideal weight or within 10 pounds of it for a facelift.  You will still need Botox and maybe fillers later depending on your concerns because the need for these is not eliminated by surgery.

Richard P. Rand, MD, FACS
Seattle Plastic Surgeon
4.8 out of 5 stars 67 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.