Ultherapy: Q&A
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Risks of Having Ulthera over Fillers?
I understand many doctors believe Ulthera can dissolve fillers. Besides Dissolving fillers, what other possible side effects are there of doing Ultherapy over fillers? Can the filler move? I've had Restylane injections around the eye/cheekbone 2 months ago and now want Ulthera around the orbital area as well.
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9 Doctor Answers |
Asked by
LidiaC
in Los Angeles, CA
+2
Not usually necessary to do Ulthera over fillers
There really isn't much to go on in terms of the effects of Ulthera over fillers such as Restylane or Juvederm, because it is common sense not to treat over them and so there is no experience to draw upon. However, the areas we usually target for fillers do not overlap much with the areas where Ulthera is done so it isn't a major issue.
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Ulthera and fillers
As you mentioned, the main risk of preforming Ulthera over fillers is that is can dissolve the fillers faster. In the future, I recommend having your Ulthera treatment prior to filler injections to ensure. This time, just make sure you communicate to your physician that you have had filler injections on the cheek and eye area.
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Ulthera and fillers
The risk of performing Ulthera after fillers is that the filler will dissolve faster. I prefer to perform Ultherapy before fillers. After the lift from Ulthera, the patient may need less filler. However, you can have fillers first. I would wait 2 weeks betweeen treatments. It is useful to go to the same physician for both, since they will know exactly where the fillers are and easily avoid them.
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Ulthera after fillers
The major issue with performing Ulthera over fillers is exactly what you mention- the risk of dissolving the product. Other than that, there is not data to suggest any other risks associated with this sequence of procedures. Having said that, it is important to be aware of the risks of Ulthera, in general, such as bruising, swelling, temporary numbness, and welts (especially with the more superficial transducers. THere are many circumstances in which we have performed...
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Ulthera and fillers
Ulthera at the upper cheek or undereye region targets a more superficial depth than where filler is typically injected in that area. If you had Restylane injected at the undereye region or "tear trough" area, typically the filler is injected deep, along the bone. Most practioners are concerned that Ulthera directly over fillers may dissolve the filler more quickly (not that the Ulthera will cause the filler to move), so we recommend doing Ulthera first, then injecting filler after. There are...
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Ultherapy & Fillers Safe
The issue of whether Ultherapy & Fillers are safe together is really not that complicated. Ultherapy causes collagen tightening by heating the layers of tissues of the face in a targeted way. Fillers restore volume in those tissues. Ultherapy before fillers is very safe. We often combine ultherapy with fillers by first doing the ultherapy then placing the fillers so that the heat does not affect them. Heat is more likely to affect botox than fillers. ...
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Ulthera Treatment after Fillers
You are correct ultherapy can potentially lessen the effects of fillers so I prefer to do ultherapy first than fillers. However if this is not possible, I will still move forward with ultherapy but make patients aware of possible side effects. These include but are not limited to: welts, numbness, paralysis, bruising, burns, soreness, poor cosmetic outcome, no cosmetic outcome, or reduced effects of filler. Although these risks are unlikely with an experienced practitioner,...
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Ulthera Over Fillers
Regardless, I generally wait 2 weeks after a hyaluronic acid placement to perform the procedure on my patients and I keep in mind where I have placed the filler. Studies have been done to evaluate the effect of other energy devices that heat the skin as deep as 3 mm, immediately over 4 different fillers, and they have shown through biopsies that it doesn't break the filler down any quicker. I would recommend seeing someone that does many Ulthera treatments for evaluation and...
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Concern about Ultherapy over Fillers
For a variety of reasons due to our patient's schedule changes or change in priorities, we have had several experience performing Ultherapy over recently injected fillers (e.g. cheek augmentation) and we have not encountered any difficulty whatsoever. It is theoretical that the filler materials may not last as long when Ultherapy is directly applied on top the skin where the filler material was recently injected; however we do not have any empirical data to support this notion.
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