Ulthera, Botox and Fillers, Laser Resurfacing. In Which Order Should I Have Them? Doctor Answers, Tips
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Ulthera, Botox and Fillers, Laser Resurfacing. In Which Order Should I Have Them?

I am determined to keep my skin as flawless as possible for a long time. I plan on doing Ulthera, botox and fillers, laser resurfacing, but I don't know in which order I should have them. For instance, if I have fillers first, is there any chance that Ulthera and laser resurfacing will destroy the recently injected fillers? Or, if I have botox, first, is there any chance that laser will nullify the positive effects of botox? Thanks a lot

7 Doctor Answers | Asked by Carmeliana
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Ulthera before Botox and fillers

Ulthera takes some time to see the full effect, and you would not want to treat directly over fillers so it makes sense to do it first. Also, depending on how much lifting is achieved, it could affect the amount and placement of fillers. Botox could be done soon after but best not before.
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Treat the foundation first and then up to the surface.

It is a good idea to work from deep to surface with non-surgical modalities. Ulthera is the deepest and doesn't affect the surface of the skin so it would be done before laser resurfacing and fillers. Fillers would come after the Ulthera and Laser. Botox should be planned to consider any swelling that the Ulthera could create or allowing ample time for the Botox to reach it's full effect. Because there haven't been any clinical studies published on timing for... more
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Ulthera, Botox, Fillers

Ulthera should be first since it will take the longest to show effects, as results occur gradually over a few months time. Botox and/or fillers can be performed soon after an Ulthera treatment. After a couple months I would then get the laser resurfacing treatment if needed. This combination of treatments often times gives patients remarkable results. Good luck!

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Which order should I get Ulthera, fillers, and laser resurfacing

Hi, I agree with the other physicians to get Ultherapy first. At the time of your Ultherapy treatment you can add Sculptra to get facial volumization for a technique if you are already numb with the Ultherapy treatment. You should get Botox before any laser resurfacing so as you are generating new collagen after laser, you are not creating new dynamic wrinkle lines. Best, Dr. Liu
+1

Order of Treatments

Thank you for your question. I would receive Ulthera before all other treatments, to ensure it does not disrupt the results of Botox and fillers. I would also suggest receiving laser resurfacing before Botox and fillers.
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Sequencing of Ultherapy, laser and injectables

Ultherapy first and then any laser resurfacing should be done before Botox and fillers. The heat from Ultherapy and laser resurfacing can interfere with Botox and fillers. The exception to the wait for fillers would be if you were having Sculptra, which works quite well immediately post Utherapy and can be done in the same treatment session. As far as time between treatments, that can get pretty complicated. It depends on the type of laser resurfacing and the kind of filler. For... more
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Ulthera before lasers, fillers and botox

You are right to question the order in which you should have these procedures done. The company recommends to not perform ulthera over fillers because it is not clear whether or not it will degrade the filler. This is especially relevant now that we could treat around the mouth with Ulthera with a 1.5 mm transducer. I would recommend having the ultherapy first, followed by the laser resurfacing and then the fillers and botox.
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