Fraxel re:pair, Restylane, and Sculptra

Michael A. Persky, MD answers: Fractional CO2 Laser after Restylane and Sculptra?

Can you have Fractionated CO2 Laser after Restylane and Sculptra injections?


Michael A. Persky, MD
4 months ago

Hi Curiousco,

If you are contemplating having both fillers and Fraxel re:pair, it is best to have the laser treatment first.  There have not been definitive studies to show the effect of Fraxel re:pair on Restylane, but one would think that the heat of the laser may cause the filler to possibly break down faster.  Additionally, the laser treatment stimulates the patient's own collagen production, stimulating increased volume so that less filler will be needed after the treatment.

Sculptra is not effected by the laser as it is placed deeper below the skin.

Good luck and be well.

Dr. P

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A: Absolutely, but you will have to wait a bit. It might be better to do the laser beforehand.

Don Mehrabi, MD
7 months ago

Thank you for your question.

it is perfectly fine to do fractional CO2 after Sculptra as Sculptra is quite deep and won't at all be affected by the laser energy. In regards to Restylane, depending on how deep it is injected into the dermis, the laser energy theoretically may cause some destruction of the Restylane. If you are leaning towards getting Restylane, then I would consider getting it injected AFTER doing the fractional CO2. 

Another advantage to doing the laser prior to getting Restylane injected is that the laser may actually help out so much that it would change the amount of Restylane that would need to be injected in certain areas, or if it would need to be injected at all. An example of this would be the areas around the mouth. Doing laser would likely decrease or obviate the need for Restylane in that area. Perhaps similar effects might be seen around the eyes or between the eyebrows, if you were considering getting those areas injected. It is unlikely to make any significant impact in the Restylane needed for the nasolabial folds.

Hope this helps!

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