I have done fillers. Will facelift take that out when it's done? Should I have had the facelift first?

Hi. Knowing which fillers were placed where in the face is necessary to say for sure. Notwithstanding, usually the synthetic fillers placed in the dermis, just below the dermis, or even on the bone/periosteium are not an issue.  When fat is used as a filler, it can easily be removed if necessary, so again, not an issue.  You may need synthetic fillers to be repeated after your facelift as they have limited longevity and can fill areas outside the limits of surgical dissection.  Your PS will guided you on the appropriate filler, sequence of surgery vs. filler, etc. based upon your physical examination.  Good luck!

Combining a Facelift with Fillers is Best for Facial Rejuvenation; however, amazing results are obtained with the Silhouette Instalift & cheek fillers. 
The object and reason to seek a plastic surgeon who is knowledgeable and has an artistic eye is to formulate a facial rejuvenation plan that is ideal for each patient’s needs.
There are many avenues available to my patients for enhancement of their face in a most natural way. The object is to not just lift or fill but analyze each face to determine what the optimal procedure is to maintain their personal identity.
A facelift will smooth wrinkles, lift loose skin, improve the jawline / jowls and reposition facial & neck tissues that are lax.
Fillers come in many forms (Radiesse – Voluma –Restylane) and each is uniquely designed to add volume and contour to the face. They, also, can lift mild to moderately lax tissues.
Additionally, the combination of having a facelift to optimize tone is followed with selective and artistically placed facial fillers for volume enhancement and sculpting. When both are used the best of both worlds are obtained; natural appearing face that has an ideal contour.
Alternative options are to use the Silhouette Instalift  which stimulates your own collagen to enhance facial volume and elevates mild to moderately loose skin in the lower face and upper neck. It is an outpatient procedure with minimal downtime.

Many of my rhytidectomy (facelift) patients have gone through a stage where they first used dermal fillers to try to combat the early stages of aging. They can be very effective … for awhile. But once the sagging becomes significant, a facelift is the only satisfactory solution. So, the answer to your questions are No, the fillers don’t have to be removed before or during the facelift and Yes, it’s OK to follow fillers with a facelift. I hope this helps.

Thank you for your question. It really depends on how much filler it used and where it is placed. Ideally you have the face lift and then fillers after that if needed. It is common to have a face lift and then fillers are added at some point to correct the areas that have lost volume if fat transfers are not performed at the same time as the face lift. 

You are in the same position as most of my face lift patients.  They have tried fillers and the fillers remain in some areas.  While theoretically you could have malpositioning as a result of the lift, your board certified plastic surgeon can discuss this unlikely event with you.  You shouldn't worry and you should remember that you can have fillers performed after the surgery.  Congratulations on the decision to have a lift procedure.

Thank you for your question.  It depends on where the fillers are and how much you wanted.  Overall I would suggest having the filler after your facelift.  All The Best 

Most patients start facial rejuvenation with fillers to enhance volume loss as we age. Fillers will not correct all the signs of aging.  Many patients do not like the temporary nature of fillers, and opt for fat transfer as a more long lasting volume enhancer. A face lift will not take the fillers out of your face. Often at the time of a face lift, fat can be transferred to your face to add volume to create a more youthful appearance.

The facelift won't nor can't remove the filler. Most fillers are intradermal or "in the skin." It shouldn't affect the type of facelift nor the result. However, if someone had deep "on the bone" volume augmentation, it can affect how much the facelift is lifted or affect the end result once the fillers are gone. 

Most of the time fillers are placed more medially on the face and are unaffected by a facelift. Fillers add volume though, so the filler that is present will continue to recede at the normal rate of the even after the facelift. Fillers are often used to prolong the need for a facelift but are also used afterwards to restore volume to areas of deficiency and maintain the facial balance with continued aging. If a facelift is planned in the near future, I prefer to do the lift first since the facelift will reposition tissues and redistribute volume. Additionally, firmer tissues usually require less filler to achieve the desired enhancement compared to loose tissues.

Best to you,
Dr. Stephen Fink

Facelift is often performed after patients have received fillers. There is no reason why you need to have the facelift before the fillers.