Can I have Botox at the same time as Fractora skin tightening?

Question

My esthetician gave me Botox treatment right after Fractora skin tightening. She said it would help speed up the process. Is his true?

Daniel Butz, MD · Answer

There's no harm to getting botox after or before laser treatments. I don't think the botox will speed your recovery at all. There will be an additional benefit of relaxing those dynamic lines. Topical PRP has been shown to speed recovery for laser resurfacing.

Jason Emer, MD · Answer

There is no specific reason why these treatments cannot be administered simultaneously, though it would not necessarily speed up the process.In our practice, we combine Fractora (or Morpheus8) with lasers like CO2, Erbium or Fraxel to address multiple layers of the skin, both the deep and the superficial, in a single session to get both tightening and brightening results. There are numerous non-surgical treatment options available for skin tightening. I suggest getting a formal evaluation with an experienced cosmetic dermatologist to develop a treatment plan that works for you. Best, Dr. Emer

Monica Boen, MD · Answer

Very good question. These two procedures actually work quite well together as long as the Botox is administered last to avoid spreading the medication outside the treatment area. However, I would not necessarily say Botox speeds up the Fractora process. Fractora uses radiofrequency energy to tighten the skin from within. Botox works by relaxing the muscles that form wrinkles in the upper face. While they are not necessarily synergistic, they are certainly complementary and can offer excellent results

Michael I. Echavez, MD · Answer

There would be no problem having a Botox treatment to an area just treated with Fractora, but I do not think that Botox would have any effect on the healing process or results from the Fractora.  Both treatments can help to reduce certain lines and wrinkles, so it is possible that doing both treatments could produce an added benefit to some wrinkles.

Daniela Dadurian, MD · Answer

Thank you for your question. Fractora, before or after, will not affect your ability to get Botox. Both treatments will help to reduce the appearance of your wrinkles so getting both can enhance your results.

Justin Harper, MD - Account Suspended · Answer

Hi Ockyzpur,In cases where we have two procedures in a single appointment, we like to do Botox last. Botox would not have a healing effect on the laser treatment and vice versa. If the laser treatment was done prior to Botox, it might help since the lines and wrinkles won't be as pronounced.All the best, Justin Harper, M.D.

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