TCA Peel Q&A
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Can You Get Botox, Fillers and a TCA Peel in One Visit?
asked 2 years ago by Col_Col in Perth Western Australia
Latest answer by Houtan Chaboki, MD
Question viewed 1,918 times
Tags: forehead, wrinkles, combination
I have bad wrinkle lines across my forehead even when my forehead is relaxed the lines are very visable. I just spoke to a surgury and booked she advised me i would need about 20 Units, How many units would you advise? Also considering a TCA Peel, but its not advised to be done the same day as botox is this correct? Is botox enuff to completely rid these lines? and is it normal for nurses in the sugurys to perform these practices as she told me the Dr doesnt do them? thank you
8 answers to Can You Get Botox, Fillers and a TCA Peel in One Visit?
+1
Botox, facial filler, and chemical peel in one visit
Yes, Botox cosmetic, injectable facial filler, and chemical peel may all be performed in one office visit. The decision to perform all the procedures depends on the patient, cosmetic specialist, specific filler & peel, and areas treated.
For example, one may choose to have nasolabial folds filled with hyaluronic acid, use Botox cosmetic for Crow's feet, and have a superficial chemical peel with light-strength TCA. There are advantages and disadvantages to combining procedures. However,...
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Botox and fillers for forehead wrinkles
After looking at your picture, I think that 20 units of Botox is a reasonable way to start, but you may find that you need some more after 1-2 weeks. I believe in using the smallest amount of Botox needed to get the job done. However, your lines are deep, so the fillers will be necessary, too. I would not do the TCA peel on the same day. In my practice, my nurse and I both do Botox and filler injections, but this varies from office to office.
Bruce Genter, MD
Abington Plastic Surgeon
Abington Plastic Surgeon
+1
Botox for Forehead Lines
Based on your picture, I would suggest approximately 30 units of Botox for your forehead. Also, another 25 or so for your glabella. I would have to see your forehead both at rest and contracted to tell for sure. Your static lines (at rest) will not go away completely with Botox. Over time, if you continue Botox, the lines will slowly improve as the skin heals from less stress from constant movement. In the mean time, you may want to choose to have dermal fillers placed in these lines. ...
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These treatments work well together
In looking at your photos it is not clear that you need a TCA peel. I would start with Botox and fillers. For a botox dose in my office, I would treat you with 33 unitsof Botox using my Microdroplet method. Generally I think it is best to avoid nurses in getting a treatment. It is my opinion that you do better with being treated by a phyisian rather than a nurse.
+1
Botox for forehead lines
Your creases seem to be deep on your forehead, and as you said, they're noticable at rest. If you want a TCA peel for general skin texture improvement, but not forehead line improvement, then you can have it the same day as the Botox. You might need 20 to even 30 units in the forehead, but youshould have the glabella area (between the eyebrows) treated to help lift the forehead as the Botox on the forehead will cause it to lower.
+1
Botox and fillers at same time
It is not uncommon to have Botox performed on the same day as fillers such as Restylane or Perlane. However, combining these procedures with a TCA peel is probably too aggressive for one day's work. I would discourage it. Also, we do not permit nurses to perform Botox, fillers nor TCA peels in our practice.
+1
Botox for forehead wrinkles
I see your concerns are valid with respect to the forehead lines.
There are 3 forces creating facial wrinkles although some wrinkles may have more than 1 contributory force to varying degrees:
aging & sun exposure of the skin - cheek skin wrinkles in the elderly, adynamic wrinkles
chronic muscle action - crow's feet, horizontal forehead wrinkles & vertical wrinkles between the 2 eyebrows, dynamic wrinkles
weakened supporting tissues with age & the constant forces of gravity -...
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Aaron Stone, MD
Los Angeles Plastic Surgeon
Los Angeles Plastic Surgeon
+1
No Advantage TO YOU in combining Foreheaf Botox,Fillers and a TCA Peel
The REAL reason why you have lines across your forehead is because you are getting older and your brows have sagged. If you look critically at your bows you will note that instead of having a gentle masculine arch they are both nearly straight with your right being positioned lower than the left. As a result of this sagging, the amount of upper lid skin is increased making seeing things in the upper field of vision harder. As a result, when you drive you will tend to both tilt your head...
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