Do you have to wait for fillers to wear off before having facelift?

Facelifts reposition,  tighten and remove muscle, fat and skin. Positioning these tissues is generally to the current degree of laxity in the deeper underlying tissues. The majority of the time, this shouldn't present any problems depending on what type and the amount of filler placed. I have performed thousands of facelifts and many have had filler in the mid face. Although this didn't cause any issues during the procedure, volume may need to be replaced with fat transfer or more filler as it  normally dissipates. If there a significant amount of filler along the jawline it could preset an issue depending on the material. I recently had a case where there was a  filler of unknown that was palpably firm and nodular  along the jawline.  Although it wasn't visible it appeared permanent and it limited the amount dissection and direction of the lift to not elevate it into a visible position.  Although it could have been surgically removed, the defect that it would have created would then need to be addressed.  Ultimately, the outcome was good but it was definitely a more challenging case.

I think you can have a consultation any time, even if fillers and BOTOX® were done recently. It takes 3–4 months for the effects of BOTOX to wear off, and for most fillers no more than 6 months for most of the filler to have disappeared. I think it is reasonable to proceed with surgery within that time frame, and if only modest volumes of filler were used, you could proceed with surgery even sooner. I have occasionally encountered filler during surgery, and it has not interfered with the result.

It is not necessary to wait until fillers are completely resolved to pursue a facelift or a consultation.  Volume from fillers can complement the results of a facelift when done before the surgery.  

You can certainly be evaluated for a facelift at any time. the procedure should likely be done when the fillers have been metabolized or dissolved when possible.  This would allow for the most precise result and the best tightening of the tissues. best regards

I would say in most cases, your face should be able to be evaluated for a facelift with Botox and fillers in place.  So, I would think that you would be able to have your consult and surgery before they completely wear off. It is possible that the surgeon that you visit may feel differently and it may also depend on the amount of filler that you have in your face.  

Good question! It is not necessary to wait for fillers to wear off before you undergo a facelift. Make sure that you schedule your facelift consultation with an experienced, board certified plastic surgeon, and that you let them know of any previous procedures (including fillers) that you’ve had done. Your surgeon will want to know, as we strive to provide you with the best results in the safest way. Good luck!

Hello. Thank you for your question! It is not necessary to wait and you can have a facelift while having fillers. This being said it may be necessary to replace the fillers later on when they begin to lose volume.

Thank you for your question! This is a common question. A face lift can be done on patients who had fillers. 

No, you do not have to wait until all the filler dissolves, but you do have to realize that some deflation may be related to filler dissolving over time.  Fat grafting can help and can be done during surgery and then repeated as you notice deflation.

Fillers are complimentary to a facelift and may need to be replaced when they dissipate. However, you do not have to wait for them to go away so the surgeon knows how to proceed. This assessment can easily be made, and no adjustments are necessary when you are tightening the deep tissues and the skin.I have run into restilane in the cheeks when doing a SMASectomy as part of the face lift and it had no bearing whatsoever on what I was planning and intending to accomplish. The results were excellent, and she has not had to have any further restilane placed since the lift.