No problem with Photofacial, Botox, Restylane and Perlane at the same visit

All of these treatments can be done at the same visit but there is a better order to what goes first etc. The fillers should be first to get injected since the Botox and the Photofacial causes swelling that could distort the creases you are trying to fill precisely. The Photofacial should go next and the Botox last. IPL treatments are usually done lying down and Botox injections sitting up so as to not cause too much spread of the botox ( we don't know if that is really true anymore or not but why take a chance especially since now Dysport is available and tends to spread more than regular Botox).

Since the Botox injections can cause bruising and are alittle painful and the IPL treatment may exacerbate the bruising from the botox and the skin may be more sensitive if it is first injected a lot with fillers and botox, I would do the IPL before the botox. Icing the areas before and after the injections is very helpful. Your doctor will know the right order to do things and trust him even if his ideas differ from ours.

Hi Which One First,

Based on the depth at which the injection products are placed and the depth to which the lasers penetrate the skin, there should be no effect.

With that said, there have not been any studies we know of to prove that there is not an effect, so to be safe, we wait about one week after injection procedures to perform laser treatments and whenever possible, we perform the laser treatments before the injections. Good luck.