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Writer's pictureDr. Jean-Paul Azzi

Combining Botox & Fillers with Plastic Surgery

Combining Botox & Fillers with Facial Plastic Surgery

Facial plastic surgery has evolved to not only enhance but also refine and rejuvenate the face in ways that look natural and youthful. While procedures like deep plane facelifts, blepharoplasty (eyelid surgery), and neck lifts provide dramatic improvements in facial structure, pairing them with non-surgical treatments like Botox and fillers can enhance and prolong the results. By addressing both the underlying architecture of the face and the finer details, patients can achieve optimal results that last longer and look more harmonious.


The Power of Combination: Why Use Botox and Fillers with Surgery?

Surgical procedures can effectively lift and reposition sagging skin, reduce excess tissue, and restore structural balance. However, they don’t address all aspects of aging, such as dynamic wrinkles (caused by muscle movement) or lost volume in key areas. This is where Botox and fillers come in—Botox relaxes muscles to smooth lines and wrinkles, while dermal fillers restore volume to create a more youthful contour.


When combined with surgical interventions, Botox and fillers refine the surgical outcome by targeting areas that surgery alone cannot. This combination enhances both the immediate and long-term results of surgery.


1. Deep Plane Facelift with Botox and Fillers

Dr. Jean-Paul Azzi’s deep plane facelift is one of the most advanced facelift techniques, lifting the deeper layers of the face for a more natural, long-lasting result. It corrects sagging in the midface, jowls, and neck, creating a youthful lift and contour. However, the facelift alone may not address all concerns, such as fine lines and wrinkles on the forehead or volume loss in the cheeks and lips.

  • Botox can be used post-facelift to smooth dynamic wrinkles around the eyes and forehead, ensuring the upper face matches the newly lifted lower face.

  • Fillers can restore lost volume in areas like the cheeks and nasolabial folds, providing a more balanced and fuller look. Fillers can also be used to enhance the lips or soften any residual lines for a more youthful, plump appearance.


2. Blepharoplasty with Botox for Eye Rejuvenation

Blepharoplasty, also called an eyelid lift, corrects drooping eyelids and removes excess skin and fat that contribute to a tired or aged appearance. While this procedure can dramatically improve the upper and lower eyelids, combining it with Botox helps refine the overall eye area.

  • Botox is ideal for treating crow’s feet (wrinkles at the outer corners of the eyes) and can lift the brow slightly to complement the refreshed look of the eyelids. It enhances the outcome by creating a smooth, youthful eye area.


3. Lip Lift with Fillers for Natural-Looking Fullness

A lip lift surgically shortens the distance between the upper lip and the nose, enhancing the shape of the lips and making them appear fuller. This procedure gives a permanent lift to the upper lip but may benefit from the addition of dermal fillers to enhance the overall volume and contour of the lips.

  • Fillers can be used after a lip lift to further define the lip borders or add volume to the lips without over-filling. This ensures the lips look naturally plump and proportionate to the rest of the face.


4. Neck Lift with Botox for a Smoother Neckline

A neck lift addresses sagging skin, excess fat, and muscle banding in the neck to create a firmer, more defined jawline and neckline. However, some patients still experience horizontal lines across the neck or vertical muscle bands (platysmal bands) that surgery alone cannot fully address.

  • Botox can be injected into the platysmal bands to relax them and smooth out the neck area, creating a more refined and youthful neckline. This combination enhances the tight, smooth look achieved by the neck lift surgery.


5. Brow Lift with Botox for a Balanced Forehead and Eye Area

A brow lift is designed to elevate sagging brows and smooth deep forehead wrinkles. While a surgical brow lift provides significant lifting, it can be enhanced by Botox to further smooth the finer lines in the forehead and around the eyes.

  • Botox is often used after a brow lift to maintain a wrinkle-free forehead and subtly lift the outer corners of the brows, creating a cohesive and refreshed appearance.



Senior woman looking in the mirror and touching her face

Creating a Comprehensive Facial Rejuvenation Plan

When combining Botox, fillers, and surgical procedures, it’s important to work with a board-certified facial plastic surgeon, like Dr. Jean-Paul Azzi, who understands how to balance both the surgical and non-surgical elements for natural results.


Ready to Explore Your Options?

If you’re considering facial plastic surgery and want to know how Botox and fillers can enhance your results, contact us to schedule a consultation either virtually or at one of our offices in Jupiter or Palm City, Florida. At your consultation, Dr. Azzi will work with you to develop a customized treatment plan tailored to your individual aesthetic goals.

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