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Can I Have Botox a Couple of Weeks Before Fraxel?

Can I have botox injected on my face (mainly forehead) before a Fraxel treatment or should I wait and have it done afterwards ? Thanks.

Doctor Answers (12)

Botox with Fraxel


I would recommend you discussing this with your provider in detail as some practitioners prefer to give Botox prior to resurfacing with ablative or fractional laser and some prefer to treat after resurfacing.  It works well in both cases as it helps to relax the dynamic creases of the face whereas the laser resurfacing will help improve the overall skin texture and fine lines.  Best Regards,

Jacque P. LeBeau, MD

Pensacola Facial Plastic Surgeon
5.0 out of 5 stars 17 reviews

Botox and Fraxel


It is preferable to have Botox a few days before your Fraxel treatment.  Botox relaxes the muscle movement so the new collagen stimulated by the Fraxel treatment remodels into smooth skin, not into the lines.  These 2 treatments complement each other and should be performed by an experienced dermatologist or plastic surgeon.

Martie Gidon, MD, FRCPC
Toronto Dermatologist
5.0 out of 5 stars 16 reviews

Fraxel and Botox can be done together


Fraxel and Botox can be done together. In fact, they are a very nice combination therapy.

Edward J. Gross, MD
Orlando Facial Plastic Surgeon
4.0 out of 5 stars 9 reviews

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Timing of Botox Cosmetic and Laser Fraxel Treatment


Yes,one may have Botox Cosmetic prior to or after laser Fraxel therapy. Botox Cosmetic reduces dynamic or active facial wrinkles, while Fraxel reduces fine lines & skin surface irregularity. Generally, two weeks are allowed between each treatment, but follow the advice of your cosmetic specialist.

Houtan Chaboki, MD
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Botox and Fraxel


Botox can be used a few weeks before Fraxel treatment.  It should not be a problem for the Fraxel treatment.

Steven Wallach, MD
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Botulinum Toxin and Fraxel


This depends on the advise of the practitioner but I do not see a contra-indication in the use of Botulinum Toxin prior to Fraxel

Otto Joseph Placik, MD
Chicago Plastic Surgeon
5.0 out of 5 stars 48 reviews

Botox prior to Fraxel


The inhibition of muscle movement, and thereby reducing the ability of the skin to crease in recently laser resurfaced skin is thought to be advantageous.  As it takes Botox several days to two weeks to produce the maximum onset of effectiveness, it is prudent to inject Botox or Dysport one to two weeks prior to laser resurfacing.

Ronald Shelton, MD
Manhattan Dermatologist
5.0 out of 5 stars 31 reviews

Botox before Fraxel


Absolutely you may have Botox before Fraxel.  In fact, it is recommended. While you are healing from the Laser treatment, Botox stops the repetitive creasing in the lines that we are trying to take away.  The effects are synergistic and well worth the treatment. 

Michael L. Workman, MD
Portland Plastic Surgeon
4.5 out of 5 stars 17 reviews

Botox CAN and Should be used Before Facial Laser Treatments


Pre-treating the face with artistically placed Botox is a great preparation for a laser facial treatment. the Botox will maximally relax over-active muscles in as little as 5 days allowing the laser resurfacing to penetrate evenly and yield a nicer long term result.

Peter A. Aldea, MD
Memphis Plastic Surgeon
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Botox before Fraxel


Botox may be used before Fraxel but I would wait at least two weeks after a Botox treatment. I would not recommend any shorter interval than that.

Steven Hacker, MD
West Palm Beach Dermatologic Surgeon
5.0 out of 5 stars 4 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.