Safe cosmetic treatments with IPL rosacea treatment?

In our practice, we perform the injectable treatment after the laser treatment.  The concern is that the thermal/heat energy from the laser will degrade the product.  This is also supported by the manufacturer of Restylane - Medicis.  Because laser treatments for rosacea are typically spaced in four week intervals, receiving a laser treatment 4 weeks after the use Restylane treatment should be perfectly fine.  An experienced, trained registered nurse (not excluding other practitioners as some do) will be able to offer valuable feedback regarding your questions, concerns, and treatment goals. Lori Haney, RN, MEP-C Certified Medical Laser Safety Officer www.celibre.com

I frequently have patients who want more than one treatment during an office visit. My recommendation is to have IPL performed first, and then skin fillers (e.g., Restylane, Juvederm). The main reason is that the fillers may move out of place if there’s any treatment after injection that can manipulate the skin. Also, there’s already some skin swelling after fillers have been injected - heating up the skin more just increases inflammation and short term discomfort. What about fillers already injected into the skin? I normally advise waiting at least 7 days before performing IPL or laser-based procedures. There’s less likelihood of migration of the filler as time goes on. I have seen no problems when IPL is performed 7 or more days after a filler injection. I’ve noticed great results with these guidelines. I usually recommend similar guidelines for Botox. IPL or laser treatment immediately after Botox could potentially cause undesirable migration of the Botox injection. However, Botox after IPL has always been well tolerated in my office. Remember - It’s Your Face! For best results, get treated by an experienced medical doctor who treats patients him- or herself.

I don't know of any studies, but I can tell you that I routinely peform IPL photofacials after treatment with fillers without any problems. I have not seen any evidence that the IPL treatment will hurt the fillers. This makes sense as there are no subtances within the fillers that will absorb much light. I have not noticed any decrease in the length of time that the fillers last with or without IPL treatment. This is especially true for fillers that are injected very deeply. The light from the IPL photofacial is not likely going to penetrate deeply enough to bother the filler at all. However, I don't do any IPL treatment immediately after Botox injections. I believe that if IPL is done immediately after Botox, directly on top of the Botox injection sites, you could injure the Botox causing it to not work.