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Facelift vs. Fillers: When Is It Time to Consider Surgery?

Posted October 25, 2026
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Sometimes, you may notice changes that fillers simply cannot fix, such as more noticeable jowls, looser skin, or cheeks, and the jawline that no longer looks as defined. When sagging skin and downward movement of facial tissues become the main concerns, a facelift may be worth discussing. If you are around Baltimore, MD, this is something that double board-certified surgeon, Dr. Babar Sultan, can help you with.

Dermal Fillers: Restore Volume and Soften Facial Lines

If your cheeks look hollow, your face appears less full, or certain lines have become more noticeable, dermal fillers may help refresh your appearance. They restore volume beneath the skin and can enhance contours around the cheeks and jawline. Fillers may be enough if volume loss is your main concern and your skin still has good elasticity, allowing you to enjoy subtle improvements without surgery.

Facelift: Address Sagging Skin and Restore Facial Contours

If your skin has started to sag around your cheeks, jawline, or neck, a facelift may help create a smoother, more defined appearance. This is a procedure that may be worth considering if sagging and loose skin affect your facial contours more than volume loss alone. A facelift improves and repositions underlying tissues while removing excess skin to address more noticeable signs of facial aging.

Can Fillers and Facelift Surgery Be Combined?

Yes, combining dermal fillers and facelift surgery can address different signs of facial aging for a more balanced result. With their distinct benefits, together, they can help create smoother contours while maintaining natural-looking facial volume. This combination may be beneficial if you want to address both loose skin and volume loss rather than focusing on just one concern.

Why Choose Sultan Facial Plastic & Reconstructive Surgery?

Dr. Babar Sultan, MD, FACS is certified by the American Board of Facial Plastic and Reconstructive Surgery and the American Board of Otolaryngology–Head and Neck Surgery. With his specialized training in facial plastic surgery and education at Harvard Medical School and Johns Hopkins, he focuses on procedures that address facial aging, including facelifts to improve sagging skin and facial contours and dermal fillers to restore lost volume. His expertise helps him assess which approach may best suit your concerns and aesthetic goals.

You can explore the facelift and neck lift before-and-after gallery and the dermal filler before-and-after gallery to see examples of individual patient results. You can also read patient testimonials to learn about others’ experiences with Dr. Sultan and our team.

Explore Your Facial Rejuvenation Options With Dr. Babar Sultan

If fillers no longer provide the improvement you want, or sagging skin and jowls have become more noticeable, a facelift may be right for you. If volume loss is your main concern, fillers may still be a suitable option. At Sultan Facial Plastic & Reconstructive Surgery in Baltimore, MD, you can discuss your concerns, compare both treatments, and learn which approach best aligns with your goals. 

Schedule a consultation to explore your options and take the next step toward the results you want.

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