Summary: Sometimes it can be difficult to decide which plastic surgery procedure you should get. In the case of Botox and Facelift procedures that’s definitely true. Both procedures get rid of wrinkles and make you look a bit more youthful in the face. So how can you tell which procedure is the best fit for you?

Should You Get Botox or a Facelift in Your Case?

How do you know when you need Botox or when you need a facelift? The answer to that question isn’t necessarily as cut and dry as you might, at first, think. There’s no demarcation line, for example, that notes when you have enough wrinkles to get a facelift and when you should stick with Botox.

But there are some ways you can guide your decision-making process. Because the (probably unsatisfying) answer is that it’s going to depend on each and every patient. Everyone’s different—your wrinkles are unique to you, no matter how much you might despise them.

That’s why we’re not really focusing on the answer to that question, but rather, questions you can ask yourself that will lead you to your own answer. I know that sounds kind of new-age-y (everyone has their own answers), but in this case it’s the best possible course of action.

How Many Wrinkles Do You Have and Where Did They Come From?

The first, well, diagnostic you’ll want to run on yourself has to do with the way you look now. There are two important aspects to consider here:

  • How many wrinkles do you have? The more wrinkles and lines you have, the more likely a facelift is going to be the ideal procedure. However, the depth of those lines and wrinkles is important to note. A facelift is really designed for deep wrinkles and lines—for more severe wrinkles and lines, if you will. So, if you have many deep wrinkles and lines, a facelift is (you see where we’re going with this) the right fit for you.
  • Where did those wrinkles come from? It’s not just quantity. It’s quality, too. You need to know the cause of those wrinkles. If you have wrinkles that are caused by a lack of volume in the skin, then something like a dermal filler injection can help diminish those wrinkles. If, however, those wrinkles are caused by muscles get “stuck” in a contracted position, Botox will be able to make you look a bit more youthful. The location and the behavior of those wrinkles will be able to tell surgeons a lot about where those wrinkles came from.

It should be noted that a facelift is effectively permanent, while Botox and dermal fillers will usually only produce temporary effects. Which one is more desirable is, of course, up to the patient.

How Long Do You Want Your Results to Last?

The next important question you have to ask yourself when trying to choose between Botox and a Facelift is: how long do you want your results to last. As mentioned above, a facelift is a permanent procedure. The results will last, well, forever (though it’s worth noting you will continue to age, obviously).

That’s not always for the best. It means that with a facelift, you basically get one shot. For most people, that’s all they’ll ever need. A facelift is kind of like turning back the clock a few years. You’ll still age, but you’ll always (more or less) look a few years younger than you otherwise would.

That’s not necessarily true with dermal fillers and Botox injections. In fact, the results from those procedures will last only a few months (in general anywhere from 3 to 24 months, depending on the injectable in question). This means that, if you like your results, you’ll have to get regular maintenance injections to keep those results.

Maybe it’s not the most deciding factor, but it’s definitely something to consider.

How Invasive Do You Want Your Procedure to Be?

There are some people who just will not like surgery. There are minimally invasive facelift options (usually they cut back on how wide the results are… that is, they tend to focus on problematic spots rather than the whole face), but a comprehensive approach includes more invasive surgery.

For many, many patients that surgery (and the recovery that accompanies it) is totally worth the results. But not for everyone. It’s up to each and every individual patient to determine just how much of that they can take, to determine how interested they are in surgery—or in avoiding it.

That’s why it’s good that there are so many options. The fact that you can get results (admittedly different results) whether you want surgery or not, whether you have deep wrinkles or not, whether you want lasting results or not, is a testament to the field. And it’s a boon to patients who love options. Because you can look more youthful no matter which direction you choose!

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