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Can You Inject Botox and Filler at the Same Time in the Same Place?

asked 2 years ago by minden18 in currently-tempararely,uk
Latest answer by Robert Kasten, MD
Question viewed 1,338 times
Tags: age 35-44, eyebrows, female, after pregnancy, excess skin, 3 months post-op, front view, ideal weight

i have a very deep line between my eyebrows, I was told it would need a few units of botox, but also some filler to get ridd of it. Can that be done at the same time, in sort of the same place? thank you

24 answers to Can You Inject Botox and Filler at the Same Time in the Same Place?

+1

Mainz Botox and Juvederm

Can be injected in the same session, even in the same area. Sometimes it is worth waiting for the Botox effect before using Juvederm 
Robert Kasten, MD

Mainz Dermatologic Surgeon
+1

You can inject BOTOX and filler at the same time in the same place

You can inject BOTOX and filler at the same time in the same place, but they are usually injected into different planes of the tissue. Even though they are injected into the same areas of your face, one is injected into the muscle and one may be injected under the skin or in the skin. 
Joseph A. Eviatar, MD

Bronx Oculoplastic Surgeon
+1

We commonly use Botox or Dysport along with fillers in the same area

We commonly use Botox or Dysport along with fillers in the same area, all over the face Each helps in a different way. The Botox or Dysport helps to maintain the benefits of the filler. The filler helps to plump out wrinkles.
William Coleman III, MD

Metairie Dermatologic Surgeon
+1

Botox and fillers for the glabella "11"

If the vertical lines between the eyebrows are very deep, they may need filler to help flatten them, but if you are not in a rush, and can wait for several sessions of Botox to keep the muscles relaxed (usually reinject every four months), the lines may fade away. If you wish to have the lines go away faster, I would normally recommend evaluating the result of the Botox two weeks after the injection before a filler is placed, unless you have a social function in the near future and wish... more
Ronald Shelton, MD

Manhattan Dermatologist
+1

I usually inject botox first and then assess whether a filler is necessary 2 weeks later

Injecting botox first and then to follow it immediately with a filler can risk problems with moving the botox around.  There is not sufficient scientific evidence documenting the safety of both at the same time.  It is not widely accepted.  If the botox and restylane are used in different places then it is more okay and accepted in my opinion.  I like assessing the results of the botox first and determining if the results of the botox is achieving the results that you... more
Philip Young, MD

Bellevue Facial Plastic Surgeon
+1

Botox and Filler

Yes, the two can be done at the same time, butI often have my patients stage it. The Botox is a paralytic, and will prevent you from making the wrinkle.  Once it is in effect ( a week), I then use the filler to mask the lines.  Sometimes, if you do them at the same time, you push the filler out of the way everytime you make that wrinkle because the muscle is still active ( it takes 3-5 days for the Botox to kick in).  I hope this helps.
Christopher V. Pelletiere, MD

Barrington Plastic Surgeon
+1

Botox and filler in the forehead

Glabella lines can be tough to eliminate completely. Often I will treat the area with Botox or dysport first. If the lines persist because of "etching," then a filler may be appropriate to soften the area.
Steven Wallach, MD

Manhattan Plastic Surgeon
+1

Botox and Fillers in Glabella Simultaneously

Yes, it can be done in cases when the lines are very deep. The initial response from Botox will show how much improvement can be achieved by paralyzing the muscle. If the groove has been there for a long time the it will also need a filler to fill it up. Ideally I like to try Botox first and after about two weeks assess the area for the need for a filler. Regards
Tanveer Janjua, MD

Bedminster Facial Plastic Surgeon
+1

Yes but filler first

This certainly can, and is often, done. The hyaluronic acid filler should be performed  first, since if Botox is injected initially,  it might obscure the line(s) meant for correction. Be sure your physician is experienced in this technique, since injecting in this area must be done cautiously and with great circumspection. A number of cases of vascular necrosis with facial gangrene have been reported in this area. In fact, this is the location which has most often resulted... more
Arnold R. Oppenheim, MD

Virginia Beach Dermatologist
+1

Filler and Botox at the same time

I would like to inject botox first and then filler at a later time for optimal results.  The botox will help to really relax the lines and the filler can give the total correction, or the correction that the botox can not achieve. Good luck.
Farbod Esmailian, MD

Orange County Plastic Surgeon
+1

Botox and fillers may be combined in the same areas

Botox and fillers may be combined in the same areas without further complications beyond those seen with either procedure alone.  The glabella is a great place to do this.  While Botox can soften the lines of the glabella, if they are already there at rest, a filler will likely be necessary for optimal correction.
Chad L. Prather, MD

Baton Rouge Dermatologist
+1

My advice is to get Botox first

What i usually do is have the pt have Botox first, then have them return in 1-2 weeks and see how much filler is actually needed Fillers are not FDA approved for between the brows and are a higher risk area for skin necrosis and scarring. Therefore, the less injected the better. Also, not only is it safer to do it in this order, you will save the amount of filler needed to fill the lines and can use it elsewhere or for another session Botox will improve the line and then you can see... more
Elisabeth Shim, MD

Santa Monica Dermatologist
+1

Botox & fillers given together

Botox and a filler such as juvederm, restylane or fat injections can be performed at the same sitting. This has the added advantage providing a longer result than if either had been given alone.
Robert M. Jensen, MD

Medford Plastic Surgeon
+1

Botox and fillers at the same time for frown lines

It is permissable to inject Botox and fillers at the same time in the glabella since they are injected at different levels, the botox deep and the filler quite superficially. 
Stephen Mandy, MD

Miami Dermatologist

www.mandymd.com

+1

Better to inject Restylane after Botox has relaxed muscles.

Hi. Botox and filler can certainly be injected at the same time between your eyebrows.  By the way, you need 25 units of Botox.  But the Restylane (or Juvederm) will last longer if it is injected two weeks after the Botox.  This way the muscles are relaxed, and don't squeeze the filler.
George J. Beraka, MD

Manhattan Plastic Surgeon
+1

Botox and filler - same time same place

A patient having deep glabella (frown) lines will certainly benefit from having Botox injected first and then having a filler such as Juvederm or Restylane injected for an immediate improvement and it is perfectly safe to do both at the same appointment.  Botox will take anywhere from 2-10 days to start working to keep the muscle in that area from moving.  Do not let anyone talk you into doing filler without Botox as it is the constant... more
Arnold Zweig, MD

Atlanta Facial Plastic Surgeon
+1

Botox and Filler Simultaneously

I think you are a good candidate for Botox and a filler if you have deep glabellar frown lines.  They can be performed at the same time, since they are placed in different areas.  The filler is injected beneath the lines and the Botox is injected into the muscle on either side of the lines.
John Whitt, MD

Louisville Plastic Surgeon
+1

Filler and Botox

For vertical lines in the central forhead region (glabella), the treatment of choice is Botox.  However, for very deeply etched lines, a filler may also be indicated to efface the lines; a hyaluronic acid (HA) filler is the best choice for this option. However, the glabella has relatively superficial vascular supply and skin necrosis has a higher incidence of this complication than other areas of the face.
Stephen Prendiville, MD

Fort Myers Facial Plastic Surgeon
+1

Botox and filler can be done together

However, if this is the first time you are getting the service, I would recommend first having BOTOX and see how much improvement is obtained.  This will reduce the total amount of filler that is needed.  Typically the filler would be done about 3 weeks later.  This staged approach is a good idea because too much filler in the glabellar area has been associated with skin damage from disrupting the microcirculation in this central brow area.  So a conservative approach is... more
Kenneth D. Steinsapir, MD

Los Angeles Oculoplastic Surgeon
+1

Botox and Filler Together

The frown are is a very common place to use the 2 products simultaneously. In fact, many patients get a 9 month frown line resolution when filler and botox are used together. There are no issues related to this combined technique. Best of Luck
Richard W. Westreich, MD

Manhattan Facial Plastic Surgeon
+1

Botox and Filler on the same day

The answer to your question is yes.  It is not uncommon for a patient to a furrowed line in this area and may require both Botox and a filler to have a good result.  The fillers that work best for this area are Restylane and Juvederm, which I would typically inject first.  The injection of Botox or Dysport would be done second.  You end up with a very nice result.
Lisa Kates, MD

Annapolis Dermatologist
+1

Yes, for this area

Since the filler best for this area is hyaluronic acid, and it does not require massage, you can do HA filler, then Botox to the glabellar lines on the same day. In fact, for deeply etched lines, this is the best way to get full and immediate correction.
Mary Lupo, MD

New Orleans Dermatologist
+1

Botox and Filler in the same place

Yes it is safe to get a Botox treatment and a filler (like Restylane or Juvederm) at the same time.  The Botox will relax the muscles that cause the lines and the filler will fill out the dent in the skin that does not come and go with expression. I would suggest getting the Botox first, waiting a few minutes, and then getting the filler.  Hope this helps.
Marc Cohen, MD

Philadelphia Oculoplastic Surgeon
+1

Inject Botox and filler at the same time in the same place

Yes, but you should only be injected by a true expert injecting doctor. It takes more time to judge the amounts of the Botox vs filler in the specific area. From MIAMI Dr. B
Darryl J. Blinski, MD

Miami Plastic Surgeon

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