Hello melwel14 - Thanks for your question. Taking methotrexate is not a contraindication to having a facelift. You need to work with your surgeon and your rheumatologist to be medically optimized and nutritionally optimized prior to your facelift. I've performed over 2000 facelifts in the last 10 years. In that time, I've successfully taken care of many patients with chronic medical conditions such as cardiac problems, need for blood thinners, and various rheumatologic issues requiring immune suppression. It just requires communication between the members of your healthcare team. I hope this helps. Good luck. Dr. Shah
Methotrexate may affect platelets function thereforeincreasing the chances of bleeding. Ask your doctor if themedication may be stop temporarily and discuss your options with a board certified plastic surgeon.Best wishes.