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Facelift VS Injectables (Fillers & Botox®) - How To Choose

Updated: 3 days ago

Should I save up for a facelift or have injectable treatments?

Anon, Kumeu 

Magazine page titled "Ask Dr. Heather" on cosmetic advice. Features diagrams of facelift and injectables. Pink roses rest on the page.
Ask Dr. Heather article discussing "Facelift vs Injectables"

This is something I get asked a lot - Facelift vs Injectables? - should I save up for a facelift, or start with injectable treatments? 

 

The honest answer? It depends on where you're at and what you're hoping for.

 

Injectables like dermal fillers and Botox® can work beautifully for smoothing lines, restoring volume, and refreshing your look without surgery.  They’re especially helpful if you’re noticing changes but aren’t quite ready for something more invasive.  Many of my patients use them as a way to delay the need for surgery altogether - or to make the most of the years leading up to one. 


A facelift, on the other hand, is a surgical procedure.  It can offer a more dramatic lift, especially for deeper sagging or looser skin around the jaw and neck.  But it also comes with more downtime, higher costs, and longer recovery.  It’s a commitment, and it’s not always the best “first step.”

Woman pondering facelift vs. injectables, illustrated faces and syringe, neutral background, thoughtful expression. Text: "FACELIFT", "INJECTABLES".
Facelift vs Injectables

 If you’re unsure, starting with injectables often makes sense.  You can target specific concerns, adjust as you go, and see how your face responds.  There’s no one “right” choice.  But you don’t have to figure it out alone.  Choose an injector who you feel comfortable with who will respect your journey, because the path to looking and feeling good is a personal one.  Just remember to always remain firmly in the driver’s seat.



Quick Answers:

Should I choose a facelift or injectable treatments like fillers and Botox®?

It depends on your goals, age, skin quality, and how much change you are looking for. There is no single right answer for everyone.


When are injectable treatments a better option than a facelift?

Injectables are ideal if you want to soften lines, restore volume, and refresh your appearance without surgery or significant downtime.


Can injectables delay the need for a facelift?

Yes. Many people use fillers and Botox® to maintain facial structure and skin quality, which can delay or reduce the need for surgical intervention.


When is a facelift more appropriate than injectables?

A facelift may be more suitable for significant skin laxity, deeper sagging, or changes around the jawline and neck that injectables cannot correct.


Is a facelift a good first step in cosmetic treatment?

Not usually. Surgery is more invasive, involves higher cost and downtime, and is often better considered later rather than as a starting point.


What’s the best way to decide between a facelift and injectables?

Start with a consultation. A trusted practitioner can assess your face, discuss options, and help you choose a path that suits your needs and comfort level.


 

If you have a question for Dr. Heather you would like answered anonymously, please email askdrheather@allor.co.nz






Dermal Filler, Medical Device Class III to smooth facial wrinkles and folds, correct facial atrophic scars, restore or enhance the lips or restore facial volume. Dermal filler has risk and benefits. Ask your doctor if dermal filler is right for you.  For product information check with your doctor or from product details with the supplier.


Botox®, Prescription Medicine For the treatment of frown lines and crow’s feet around the eyes.  Botox® has risks and benefits. Ask your doctor if Botox is right for you. Botulinum toxin type A 50, 100, 200 Units. For product information check with your doctor or Consumer Medicine Information on www.medsafe.govt.nz. Click for further details. Allergan, Auckland.

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