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

Question

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!

Jonathan Kulbersh, MD · Answer

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.

Amir Nakhdjevani, MBBS, MRCS, FRCS(Plast) · Answer

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

Larry S. Nichter, MD, MS, FACS · Answer

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.

Ronald J. Edelson, MD · Answer

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.

Martin Jugenburg, MD · Answer

lose weight before a face/neck lift in order to get the best possible results.  Otherwise you would likely re-develop loose skin and you wouldn't be happy with your results.

Harold J. Kaplan, MD · Answer

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.

Jason Roostaeian, MD · Answer

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.

Stephen P. Smith, Jr., MD · Answer

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!

Robert M. Freund, MD · Answer

Only loose weight that you plan to keep off! Yo-yo dieting is not good for you or for the outcome of your surgery.Loosing weight always makes it easier to have an excellent outcome.Loosing less than 15-20 lbs should not have much benefit to facial outcomes.

Suzanne Kim Doud Galli, MD, PhD, FACS · Answer

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.

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

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