Can I refuse HIV test before facelift even tho surgeon is requesting it?

Different Surgeons will have slightly different preop testing regimens. Personally I don't require such testing because the approach to the patient should be the same whether a patient is HIV positive or not. HIV is relatively difficult to acquire via needle stick injuries and is now very treatable. Universal precautions should be employed by every Surgeon.

Each surgeon has their own preferences for bloodwork to be completed prior to surgery. Some surgical procedures such as laser resurfacing or dermabrasion can aerosolize particles which may exposure surgical personnel to infectious diseases. Requiring infectious disease testing for such procedures is very common given this risk. These adjunct procedures are often done concomitantly with facelift surgery and may explain the situation.

If a standard surgical facelift is being performed without such procedures, it is still the preference of the surgeon to choose to order such laboratory studies.

Remember that your health information is protected information (HIPAA) and won't be disclosed to other, non-treating, health personnel.

Given that you're asking about this, I assume you're uncomfortable with such testing. I'd recommend that you sit down with your surgeon. Inquire about their rationale for such testing and express your feelings regarding it as well.

Yes, you can decline preoperative lab work. Hopefully, your surgeon will discuss with you their reasoning. After, they may decide to forgo the lab work, or decline to operate on you. Or you may be receptive to their reasoning and decide to have the lab work completed. Either way, it shouldn't be a contentious situation and its always best for patient and surgeon to be on the same page when proceeding with surgery. Some times it can be the policy of the surgery center a surgeon operates at and the surgeon may not have any control. Regardless, the test is ordered because they want to know in the event that someone involved in the surgery gets poked with a needle, they could start antiviral therapy earlier. Personally, I don't order these tests before surgery, but don't think it inappropriate of surgeons that do.