Fraxel Should Be Done Before or After Fillers? Doctor Answers, Tips
Fraxel Laser: Q&A
Ask a Question

Fraxel Should Be Done Before or After Fillers?

I want to have fraxel (2 or 3 sessions) to even out my skin tone, minimize wrinkles, pores, small scars, age spots, but I also need injectable fillers like restylane, radiesse, juvederm in my nasolabial folds, cheekbones, under my eyes. My question is what should I do first. If I have fillers and botox first and then fraxel laser, is there a risk that the fraxel laser will destroy the fillers? How many weeks should I wait between fillers, botox and fraxel? Thanks a lot, I read conflicting info

9 Doctor Answers | Asked by Faustiniana in Malibu, CA
+1

Fillers and Fraxel Laser Treatment

Thank you for your question. In clinical studies, there was no difference which is done first, lasers or fillers. However, some providers may have a certain preference and I would follow their protocols. Botox may be performed at any time as well. I would recommend a consult and treatment under the supervision of a Board Certified Dermatologist or Plastic Surgeon for best results and safest treatment options. I hope this helps!
+1

Fillers after Fraxel

I would recommend having the Fraxel then fillers. The heat and healing process involved with Fraxel can cause fillers to absorb faster and not last as long. If you do decide to get fillers or Botox first, wait at least 2 weeks before Fraxel to minimize this effect.
+1

Fillers After Fraxel

We recommend that fillers be put in after the Fraxel treatment. It is possible that the thermal injury and inflammation after laser treatment could accelerate the breakdown and absorption of the filler. In addition, the laser treatment would be expected to give some improvement and diminish the amount or location of filling injections needed.

You might also like...

Real Stories

April 23, 2013 - Tampa, Fl

I had my fraxel c02 done at Adora clinic in Tampa Fl. The woman seemed very knowledgeable...

Before + After Photos

View 141 Fraxel Laser photos
+1

Fillers and Fraxel Treatments...

We always recommend you wait at least 2 weeks after gettting Botox or filler injections and vice versa for if you get Fraxel done first and then want to get fillers or Botox. Dr. Grant Stevens Marina Plastic Surgery Associates Marina del Rey, CA The Institute
+1

Timing for injections and Fraxel

I always tell my patients that if you are going to have Botox or Restylane/Juvederm first, then you should wait atleast a week for the skin to heal. Conversely, if you decide to have Fraxel first, then you can do your injections 1 to 2 weeks later on your post-Fraxel check-up that I do on every patient. see video
+1

Fraxel, Fillers, Botox. Which comes first.

Timing is always an issue when rejuvenating the face with these products. In general fillers and Botox can usually be done at the same time, but the potential swelling after a laser or fraxel procedure has the potential to move the freshly injected product, whether it be filler or Botox out of position. I prefer to have Botox in place a week before any laser work as it will allow me to assess and treat skin as it appears when rested. This is the same with fillers. If... more
+1

Botox, filler and Fraxel

Ideally, Botox should be injected at least one week before Fraxel treatment so the new collagen is remodelled into smooth skin. Fraxel does not melt fillers so they can be injected 2 weeks before Fraxel or at least 2 weeks after Fraxel once the skin has healed.
+1

Timing of Botox and Fillers with Fraxel laser skin resurfacing

I suggest to my patients a very intuitive schedule for Fraxel and injectables. I prefer to do Botox and/or Dysport prior to the Fraxel series of laser skin resurfacing. The reasoning is that I want the muscles that cause the skin to wrinkle to be ‘at rest’ during the Fraxel skin resurfacing. This allows the new collagen to form as a result of the Fraxel treatments, without the muscle forces acting on the skin which cause the skin to wrinkle. After the Fraxel series is complete, I... more
+1

Fraxel will not affect fillers

Fillers of all types can be used safely with Fraxel as it does not penetrate deeply enough to hit the fillers , even at its strongest settings. Fillers are placed deeply , underneath the skin,while Fraxel works from the skin surface down. So there is absolutely no concern about Fraxel hitting the filler. It is best to have Botox in place prior to starting Fraxel as it puts the muscles that cause expression lines to be at rest and allows better new collagen formation. Much like a splint... more
Doctors will not see your comments on their answers. If you'd like to follow up, please go here to ask another question.

Comments (1)

Miss J 7 Dec 2012
Hi I would like to know this answer too as I am planning on fraxel and fillers for tear troughs. Hopefully someone comes along with an answer.

Ask a Question

Welcome Back

Sign in with Facebook

Your information remains private and will not be posted without your permission.

Forgot your password?

Don't have an account? Create one now.

Join RealSelf

Join with Facebook

Your information remains private and will not be posted without your permission.

Please enter a valid email address
 Did you mean ?

By creating an account, you are indicating that you have read and accept the RealSelf Terms of Use.

Already a member? Sign In.

Retrieve your password

Enter your username or email address and we will send you a link to login.

Check your email

Check your email. We've sent you a link to reset your password.

Ok