Does a person have to stop using Botox and fillers before they seek a facelift consultation?

Question

If yes, how long should they stop using fillers and Botox before the consultation?

Kenneth Hughes, MD · Answer

A facelift consultation can be obtained with Botox and fillers having an effect.Find a plastic surgeon with ELITE credentials who performs 
hundreds of 
facelifts, necklifts, facelift revisions, and facial procedures each 
year.  Then look at the plastic surgeon's website before and after photo
 galleries to get a sense of who can deliver the results. Kenneth 
Hughes, MDLos Angeles, CA

Andrew Miller, MD · Answer

A patient does not have to stop using Botox or fillers prior to having a facelift. Botox and fillers are injected around the eyes and frown lines, while a facelift mainly targets the jowls and neck.  This means that undergoing a facelift would not interfere with the action of the fillers or Botox. Sometimes we even inject fillers at the same time as a facelift with no interactions at all. It is important to go to someone who is experienced in combining these modalities when thinking about proceeding with surgery.

Richard Baxter, MD · Answer

Because Botox relaxes muscles that cause wrinkles in a way that surgical facelifts do not, there isn't usually any problem planning a facelift. However facelifts often include the addition of volume with fat grafting so it is important for your plastic surgeon to know if you have fillers.

Shlomo Widder, MD · Answer

Dear Linda,   As you can see from the previos responses, it is quite controversial. In my opinion and experience, botox caries no consequences for face lift. On the contrary, fillers can significantly alter the face , especially after the , so called, "liquid face lift" . So, in my practice, I ask my face lift patients to stop the fillers injection 3 - 6 months before surgery for restylane and juvaderm  and 6 - 9 months for radiase. Consult with experienced board certified plastic surgeons and check the before and after pictures to make sure that you like the results.                           Best of luck,                                        Dr Widder

Babak Azizzadeh, MD, FACS · Answer

There shouldn't be any need to stop Botox injections prior to a facelift consultation. Just inform your facial plastic surgeon of your prior treatments.

William Portuese, MD · Answer

It is certainly acceptable to go in and have a consultation for a facelift with Botox and  fillers in place. This will have no of bearing on the consultation or the surgery itself.  Botox and fillers accomplish  completely different goals than a facelift procedure. For many examples of face/necklifts, please see our photo gallery link below

Boris M. Ackerman, MD · Answer

Botox and Filler treatments prior to faceliftIt is rather common to see a patient in consultation for a facelift that 
has had prior non-surgical treatments.  You do not have to wait for the filler 
and Botox to wear out the see a plastic surgeon for evaluation.   An experienced 
and skilled surgeon can take these factors into account and still properly 
assess the face anatomy to properly plan out appropriate surgical

Michael I. Echavez, MD · Answer

A face which has had Botox and fillers could still be evaluated for a facelift, but you should mention these past treatments at the time of your facelift consultation.  Facelifts are primarily done to help with sagging skin while fillers are used to restore volume and Botox helps with lines or furrows caused by facial movement.

John Frodel, MD · Answer

Most patients benefit from a multi-pronged approach to facial rejuvenation.  So, use of Botox, fillers, laser therapies, skin care products, etc. are usually part of the plan both before and after surgery.

Louis C. Cutolo, Jr., MD, FACS · Answer

Good question. No, you do not have to stop using BOTOX®
Cosmetic and fillers before seeking a facelift consultation. Facelifts address sagging
jowls and the neck, as well as excess skin of the face. BOTOX is used for
reducing wrinkles in the forehead, and fillers are used to improve volume loss
in the cheeks as well as the nasolabial folds around the mouth. All 3
treatments complement each other and therefore do not need to be stopped prior
to the surgical consultation. Be sure to tell your surgeon what treatments
you've had, and good luck!

Does a person have to stop using Botox and fillers before they seek a facelift consultation?

Answers (18)

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