Should I lose weight before Lower Face Lift? (photo)

Hi, I am about to turn 46. I have an 8 month old ( yes, you read that right) I still have 25lbs. to lose. Should I lose the weight before I have a lower face and neck lift? Will liposuction of the neck and jawline be done with facelift and can that fat be used to fill out the cheek area? Thank you!

Doctor Answers 13

Weight Loss Before a Lower Face or Neck Lift

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It is common for patients considering undergoing a neck lift or lower face lift to inquire about the effects of weight loss and the ultimate results from surgery.  I advise any overweight patient that is going to lose more than 20lbs to wait to lose the weight before undergoing surgery.  If it is less than 20lbs, there is less benefit in waiting.  

I hope this helps.  

Weight loss before or after facelift?

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If you truly plan to lose that much weight, it is better to do it before your surgery. If you have surgery and the. Lose so much weight, it may be difficult for your skin to contract, resulting in sagging again.

Suzanne Kim Doud Galli, MD, PhD, FACS
Washington Facial Plastic Surgeon

Losing weight before a facelift

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It is always better to lose any significant weight gain before surgery but don't stress over the last 10-15 pounds. Face and neck lifting is more about repairing laxity of muscle than fat problems. There is a fat pad under your chin which won't respond to weight loss so liposuction would be required and some of that fat can be utilized for filling in the face if necessary. You will be very busy for awhile with the new baby so planning a good time for surgery may be problematic. Good luck.

Harold J. Kaplan, MD
Los Angeles Facial Plastic Surgeon
4.4 out of 5 stars 7 reviews

If I plan to lose weight, should I wait to have my facelift?

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Many patients can best predict how much their face will change with any changes in weight as it is variable among each individual. If you notice major changes in your facial fat with weight changes than it is best to wait until you are at a stable weight that you are comfortable with before undergoing surgery. For example, patients who have had significant weight loss are common candidates for facelift as their once very full face deflates and leaves behind a lot of excess skin. 

Jason Roostaeian, MD
Los Angeles Plastic Surgeon
4.9 out of 5 stars 8 reviews


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I believe loosing the weight first is advisable. Once the weight is lost, then re-assess the face and decide what needs to be done. Facelift with or without fat transfer to the cheeks. and removing excess fat in the neck.

Samir Shureih, MD
Baltimore Plastic Surgeon

Face lift weight loss

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Weight loss prior as opposed to after a facelift is always preferable.
The jowls, jawline and below are routinely liposuctioned to improve the contour and longevity of results of a facelift. If indicated this same fat is used to inject into the cheeks, malar and infra-orbital regions.
Please consult with a Board Certified Plastic Surgeon in person prior to making treatment decisions, cheers.

Luis A. Cenedese, MD, FACS
New York Plastic Surgeon

Facelift before weight loss

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Thank you for your question.  I would always advise my patients to lose the weight wanted first, as this can prevent the need for additional surgeries to remove excess skin should you subsequently lose weight Best Wishes 

Stable Weight Best for Face and other lifts

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Waiting until you are close to your stable weight is probably in your best interest. Do not lose weight if you are planning on gaining it back after the procedure.

Lower facelift

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You are indeed a good candidate for a lower facelift along with some suctioning of the fat of your neck.  I don't think that fat injections are a worthwhile option in your situation.  As far as weight loss is concerned, it would be of some benefit to lies the weight prior to surgery, but even if you can't lose the weight, you'll still get a very nice result.

Ronald J. Edelson, MD
San Diego Plastic Surgeon
5.0 out of 5 stars 29 reviews

I plan to lose weight. Should I do it before or after my facelift?

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You may not be able to fully enjoy the results of your facelift—and you could need a second facelift—if you lose more than 20 pounds after undergoing the surgery. The reason for this is that your freshly tightened skin may potentially become lax again if you lose the fat underneath it. If you plan on losing 25 pounds, then I recommend that you try losing the weight BEFORE you undergo a surgery. In the meantime, you may see a board certified facial plastic surgeon to discuss less invasive options to maintain a fresh appearance while you are working on the weight loss. I wish you the best of luck with your newborn and your weight loss!

Stephen P. Smith, Jr., MD
Columbus Facial 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.