Thank you for your question. You state you had fillers done, and you’re going to have a facelift. You ask whether you should have done the fillers later, or whether the fillers will be affected or taken out by the facelift. In the absence of more details, I can give you some general concepts I think are helpful to you in understanding the impact of the facelift is on fillers, depending on where they’re located, and role of fillers in the context of a facelift. A little background: I’m a Board-certified cosmetic surgeon and Fellowship-trained oculofacial plastic and reconstructive surgeon. I have been in practice in Manhattan and Long Island for over 20 years. Face lifting surgery and the use of injectable fillers are routine parts of my practice, focusing a lot on facial aging and helping my patients get optimal solutions based on treatment plans that make sense for their situation. The principal goal of a facelift is to lift sagging tissue, which means bringing up the cheek area, improve jawline definition, and improve the neck angle or neck definition. We understand very well that facial aging is not just sagging, but also volume loss. Volume loss is emphasized in the bone structure, so bone loss is a very important part of volume loss, which is one of the reasons I explain to my patients that someone in their 60s and 70s, no matter how good their facelift is performed, will not look like somebody in their 20s and 30s. Fillers are placed at different levels, for different reasons. When you think of the area where skin is lifted during a facelift, if you had fillers in those areas, they can be impacted, not necessarily directly by the facelift, but also indirectly. Swelling, fluid, and healing from a facelift can affect the effect of fillers. Places such as the dermis of the skin where fillers are often placed will not necessarily be impacted, especially the areas elevated in the flap of a facelift such as around the eyes, under eye area, and the lip area. It really depends on where those fillers are placed. It’s important to understand that beyond the face lifting procedure, regardless of the technique anywhere from a minimal short scar facelift, to a more extensive face and neck lift with platysmaplasty, and more extensive skin removal and dissection, that in the end, you’re restoring the position of the tissue. Once everything is healed, you can decide if you want to address areas where there’s still going to be volume loss, typically this includes the cheek area, chin, and jaw angle. Patients come to me who have had facelifts done elsewhere often say, “You know, I think the doctor should have tightened me more because I still feel like I don’t see what I want to see.” I explain to them the skin has a certain amount of elasticity, which will always equilibrate even if the doctor does it as tight as appropriate, which most competent facelift surgeons will do, then a certain amount of stretch will always occur. The skin has a certain amount of elasticity that is age-related, as well as normal movement when you turn your head, look up and look down where the skin will stretch. Volume loss at the bone level is an area where there’s opportunity. We do something called Structural Volumizing where we place the volume at the bone level. By putting filler between the bone and the muscle, it could be argued academically that the filler would less likely be affected. We can even do hybrid procedures with a limited facelift, and place volume at the same time. That’s less common in my practice, but I more commonly combine placement of filler in the cheek area with eyelid surgery. There is a lot of finesse, and the type of outcome we are interested in achieving. For the destiny of the fillers already placed, it’s less likely to be relevant because the purpose of the facelift is very different from the goal of the placement of injectable fillers. There is a harmony that can be achieved between these two strategies. I wouldn't say what you did prior is actually going to be wasted, but understand that beyond the facelift, there will also probably be an opportunity, especially in areas which the facelift doesn't address, to still do fillers to optimize your appearance. I hope that was helpful, I wish you the best of luck, and thank you for your question.