Removal of lumps from a filler can typically be performed during a facelift. Bellafill promotes deposition of your own collagen over time and is considered a permanent filler due to its long lasting results. Facelifts will tighten your skin. Fillers restore volume. Your surgeon will be able to best advise you on what can be done during a facelift to achieve the results you desire.Best,Dr. DuPont