Facelift after Sculptra? (Photo)

Question

Hi! Im a 25yo female and I have already had 3 rounds of sculptra, 1ml of filler in cheeks in total & 1 threadlift. I believe the next step would be a total facelift surgery, which I am aiming to have when I am approx. 35 years old. Would you recommend me to avoid having any more sculptra or fillers before the facelift? I just don't know how to handle the 10 years in between, as my skin will start to sag and deflate even more.

Tyler Okland, MD · Answer

I can tell you sculptra is a pain for facelift surgeons, particularly deep plane facelift surgeons like myself. The field is bloodier, the patients are more swollen after surgery, the anatomy is less clear.
That said, the surgeons doing true deep plane facelift are experts of the face. Sculptra makes things harder but hard surgery is okay. Many of my patients have had sculptra injected and it absolutely does not change their candidacy for facelift. I just have a different discussion on post op swelling/recovery with them. 
When you get to an age where you think facelift is necessary, I would simply recommend you go to an expert who is truly doing DPFL, and your sculptra/filler use will not be a problem. Hope this helps.

Ronald J. Edelson, MD · Answer

I’m not surprised that you are disappointed with sculptra. But you are too young to have a facelift  it would be a total waste of money

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