Should I stop or cut back on caffeine before facelift surgery?

I don't know of any reason why you would need to cut back or stop caffeine in anticipation of your surgery. If you are a regular coffee drinker, it is important to also continue it after surgery or can you get a headache from the abrupt caffeine withdrawal. Brow lift patients can sometimes experience tension-like headache symptoms from the tightness along the forehead, and one of the main medications we prescribe for tension headaches, called Fioricet, actually has caffeine in it and that helps for a tension headache. 

Every surgeon has his/her own preference when it comes to a pre-operative protocol. You should discuss what medications, supplements, and
vitamins you are taking, both prescription and over the counter, with your
plastic surgeon and have him or her decide what you should and should not be
taking. Your surgeon should be certified by the American Board of Plastic
Surgery and ideally a member of the American Society for Aesthetic Plastic
Surgery (ASAPS).
 
Robert Singer, MD  FACS La Jolla, California