Can I have filler or Botox same day as a Clear and Brilliant Permea treatment?

Hi, 
Botox and fillers can safely be done on the same day as some lasers, and are not recommended on the same day as other lasers. We want to ensure that the laser heat does not inactivate the Botox or ruin the filler integrity or cause severe swelling that can cause botox to travel to muscles that were not intended to be relaxed.
Clear and Brilliant, and Intense Pulse Light are treatments that I feel comfortable performing on the same day as Botox and fillers
On the other hand, Fraxel,  CO2 laser resurfacing, and Ultherapy are three that I will not perform on the same day as Botox and fillers.
In my practice, to prevent heat damage to Botox, Clear and Brilliant is done first. The skin must be cooled with a Zimmer air cooler and ice. Then Botox and fillers are done last.  
Best of luck to you, 
Dr. Bonakdar

Yes, it should be completely fine to have Botox on the same day as your Clear and Brilliant Permea treatment.  Other harsher lasers might require some downtime between procedures, but because Clear and Brilliant is such a gentle laser, there should be no issues. 

Hi, thank you for the inquiry. Botox and fillers can be done on same day with certain lasers but not with others. Lasers using heat can damage and displace injected products. You can have botox and filler prior to clear and brilliant permea. I would recommend you to consult a repute able doctor for further evaluation.
Best Regards,
Dr. Neel Bector

Yes, we do this frequently. I usually perform the Clear + Brilliant Permea treatment prior to Botox and filler injections. 

Thank you for your question Charming5574. I understand your concern. Botox is a purified protein used to address wrinkles associated with facial expression. When injected into the skin Botox will relax the muscles and smoothen out the overlying wrinkles. The most common areas of treatment are in the upper face. These include the horizontal lines seen on the upper forehead when one raises the brows, the vertical lines seen between the brows when one frowns (frown lines), and the crow's feet seen around the eyes when one smiles.
It is difficult to make an assessment without a formal exam where the entire medical history is reviewed. However, I hope the information provided here is useful.The safety record of Botox is well established. The product has been used for over 20 years for a variety of treatments with minimal side effects. Botox is amongst the safest treatments for treating facial wrinkles.

While Botox is one of the safest treatments offered, there are some situations where it is not appropriate. These include anyone who has an allergy to any of the inactive ingredients or who has had an allergic reaction to any botulinum product including Botox, Dysport, Xeomin, or Myobloc. The safety and efficacy of Botox has not been established in women who are pregnant, trying to become pregnant, or breast feeding. Therefore, women in these categories are advised to wait until breast feeding is completed prior to having a Botox treatment. Botox should not be placed in the skin on the site of an infection. Those who are taking an aminoglycoside antibiotic, an anesthetic, D-penicillamine, antimalarials, or immunosuppressants should not be treated, nor should those who have undergone chemotherapy within the previous six months. It is important to avoid blood thinners before and after a treatment. These include both prescription and non-prescription medications such as warfarin (coumadin), aspirin, ibuprofen, alcohol, fish oil, vitamin E, and ginko biloba. Those with conditions that affect muscles and nerves such as amyotrophic lateral sclerosis (ALS or Lou Gehrig's disease), myasthenia gravis, or Lambert-Eaton syndrome should not undergo Botox treatments.If I had a patient with the concern here I would recommend waiting a week between an injectable treatment and a laser treatment. This is because the laser treatment may heat the skin and cause swelling. This may cause the Botox to diffuse and lead to side effects. Also, filler injections lead to swelling and I don't like to have too much swelling at a given session. Some doctors will perform all of these treatments on the same day, but I am more conservative and cautious.With any injection, there are risks such as pain, bleeding, bruising, redness, swelling, tenderness, and infection. We take special precautions to minimize these risks such as using a painless technique. We also treat bruises with a laser as early as the next day. Bruises usually resolve within two weeks if untreated. After a laser treatment bruises usually resolve in 1-3 days, but may still take two weeks for full resolution. In addition to these risks, with Botox there is also a risk that the product spreads or diffuses to nearby structures. Spread to nearby muscles can lead to side effects such as the temporary appearance of droopy eyelids or a temporary asymmetric smile.

After a Botox treatment, I recommend that my patients avoid heat exposure, alcohol consumption, and strenuous exercise for 24 hours and not lie down flat for four hours. This is because all of these activities may possibly lead to the movement of the product and consequent side effects such as droopy eyelids. Although there have been no definitive studies shown that these actually occur and some physicians do not provide such aftercare instructions, in the absence of data I err on the side of caution and recommend that my patients avoid such activities.

Please consult with a doctor for specific recommendations. Good luck!