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Is Fractional Laser Compatible with Botox?

asked 8 months ago by nevine from cairo in cairo
Latest answer by Ronald Shelton, MD
Question viewed 398 times
Tags: combination, safety

i applied urbium laser 1 week after botox for forehead and eyes. only 3 weeks later the effect of botox disappeared and wrinkles recurred. is this due to laser that might have denatured botox?

15 answers to Is Fractional Laser Compatible with Botox?

Botox and Fractional CO2 Laser Combination

It is unlikely that the Botox is ineffective due to Fractional CO2 Laser treatment. You may simply need to be enhanced in terms of Botox units or it may have not been full strength Botox when placed in your forehead and eye areas for wrinkle treatment.

Amiya Prasad, MD
New York Oculoplastic Surgeon

Use Botox After Laser Treatments

While fractionated C02 or Erbium laser work well with Botox, there is a theoretical risk of the Botox "moving" to places where it is not intended by lasering over an area, immediately after Botox. We usually like to space out the treatments by a few days or inject the Botox after the laser procedure has been performed.

Jason D. Bloom, MD
Philadelphia Facial Plastic Surgeon

Botox and Fractional Laser Work Well Together

No. Having a fractional laser treatment will not cause the Botox to wear off. In fact, used together they can create great results and provide and a more rejuvenated look. see video

Mitchel Goldman, MD
San Diego Dermatologic Surgeon

Fort Lauderdale Botox

Fraxel following neurotoxin injection should not affect Botox. As a cell biologist, it does beg the question of the effects of resurfacing on wound healing and neuropeptide release at the nerve-muscle junction. As the esteemed physicians noted above, there should be no affect. I do feel this is an area in need of research. I recommend resurfacing followed by neurotoxin to avoid this possibility to arise entirely.

Will Richardson, MD
Fort Lauderdale Dermatologic Surgeon

Laser does not effect Botox.

The laser from either CO2 laser or Yrbium laser does not go deep enough to reach muscles. Therefore, theoretically, it cannot effect Botox. Botox and laser work very well together. However, to be safe, if use the botox after I do the laser.

David Alessi, MD
Beverly Hills Facial Plastic Surgeon

They are compatible as long as they are done at separate visits

Botox paralyzes your muscles so that with expression, prominent lines made during expression (crow's feet, frown lines, forehead lines) are diminished. A fractioral laser treatments aim is to remove the top layer of skin to rejuvenate the skin. The level of rejuvenation depends on how much energy you use. But regardless, the laser treatment treats your skin, not your muscle like Botox does. Used together, they can be very compatible and effective. But, these... more

Carla R. Retief, MD
Nashville Dermatologic Surgeon

No, the laser does not go deep enough to affect the Botox.

No, the laser does not go deep enough to affect the Botox. You may be developing a Resistance to Botox. I would recommend that you try Dysport for your next treatment. It will often work in patients who have become resistant to Botox.

Mark Taylor, MD
Salt Lake City Dermatologic Surgeon

www.gatewaylasercenter.com

Lasers after Botox

Within 20 to 90 minutes after it is injected, botulinum neurotoxin type A can be detected inside the motor nerve endings. Therefore the muscles and nerve endings take up the Botox or Dysport very quickly before they can spread far from the injection site. In my office, there are no restrictions after the first few hours post Botox injections as the final outcome of the treatment will not be affected.

Mitchell Schwartz, MD
South Burlington Dermatologic Surgeon

dorsetstreetdermatology.com

Fractional Laser and Botox Use

Botox irreversibly alters the functional part of the tip of the nerve. Once the affect takes hold, nothing can reverse it, erbium lasers included. Botox only "wears off" when your body replaces the functional part of the nerve tip with a new one, typically in about three months. Your perception that the Botox failed is based on seeing wrinkles. However, the direct affect of Botox is not on wrinkles, it is on the nerve/muscle connection. Only after a... more

Louis W. Apostolakis, MD
Austin Facial Plastic Surgeon

www.dr-apo.com

Can Erbium laser deactivate Botox?

No, laser cant deactivate Botox or Dysport. The simple fact is that the protein is absorbed by the nerve and the connection with the muscle is disconnected for a time. Laser will not touch this because the protein is already absorbed Botox or Dysport that does not last is usually the result of not enough material being placed- usually the injections are not dosed with enough material in an effort to 'get a deal".

Kenneth Beer, MD
Palm Beach Dermatologic Surgeon

www.palmbeachcosmetic.com

Laser tends not to interact wtih Botox if done a week later

We routinely treat dynamic areas (skin that wrinkles because of undelying muscle motion) with Botox one to two weeks prior to laser resurfacing to help the area heal on a smoother base. We have not seen any negative interaction on the effect of Botox, whether resurfacing was done a week later with Fraxel Restore, Fraxel Dual, Fraxel Repair, Portrait Plasma, and tightening procedures such as Ultherapy and Theramge. see video

Ronald Shelton, MD
Manhattan Dermatologist

Combination treatments offer outstanding natural results

Botox is absorbed into the skin/muscle within a matter of hours and will not be affected by a laser treatment done one week or even a day later. At 3 weeks you should be at about the peak of the results from botox. It would be a good idea to call and re-visit the doctor who did the botox so they can evaluate for you.

Doris Day, MD
New York Dermatologic Surgeon

Botox and Fractional Laser Resurfacing

Both nonablative and ablative lasers are totally compatible with Botox. I like to inject the Botox last, to ensure that it stays in the intended, specific muscles.

Deborah Sarnoff, MD
New York Dermatologic Surgeon

Is Fractional Laser Compatible with Botox?

Is Fractional Laser Compatible with Botox? Unlikely as Botox is rapidly absorbed after the injection(s). Perhaps the swelling caused by the Laser is making tghings look somewhat odd in the healing phase or the amount of Botox used was inadequate to obtain the desired results. Botox results do take 3-5 days, on average to see full results.

Francis R. Palmer, III, MD
Beverly Hills Facial Plastic Surgeon

Botox works well with Laser treatments

Botox and Urbium or Fraxel Laser work beautifully together. These 2 treatments enhance each of their results.They improve the results of both treatments. I would check to see if fresh Botox was used or do they save their BotoxI would check with your doctor for a possible touch up.