Radio frequency (Viora) tightening and Botox in same session? Crows feet

Question

I'm planning to have Viora Reaction RF skin tightening for crows feet. Would it be ok to have Botox injected at the same time? Should I do the Botox weeks before the RF tightening or after? I've been told that Viora results in skin improvement but Botox is necessary to stop underlying muscle cause of the wrinkles.

Raffy Karamanoukian, MD, FACS · Answer

Morpheus 8 is a non-invasive skin and soft tissue tightening treatment that is consistently amazing in our patients. We use the Morpheus to exact fractional induced RF into the skin or tissue in order to tighten collagen and stimulate contraction of the tissue. For acne scars, it is quite useful to build collagen in patients who have atrophic scars but is not very productive for ice-pick scars which require TCA Cross. For tissue tightening, Morpheus is ideal for the face and neck and we often combine it with CO2 laser or Ultherapy to further enhance results. Chemical peels and skin resurfacing should be done at least 5 to 7 days after, but can be performed earlier, depending on treatment severity. Avoid exfoliating skin treatments before Morpheus and expect a period of 2-4 weeks for skin contraction to set in.

Best,
Dr. Karamanoukian
Realself100 Surgeon

Best, 
Dr. Karamanoukian 
Realself100 Surgeon

Jason Emer, MD · Answer

Yes, we often combine treatments on the same day. Keep in mind, it will take 1-2 weeks for final results with Botox. Best, Dr. Emer

Richard E. Moore, MD · Answer

Thank you for your question. It would be fine to do the Botox treatment for your crow's feet and the Viora treatment on the same day provided that the Botox treatment follows the Viora RF treatment.I hope this was helpful - Dr. Moore.

Radio frequency (Viora) tightening and Botox in same session? Crows feet

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