Fillers Before Fraxel?

I'm having a small depressed scar in my cheek filled with Radiesse next week (it's an "untethered" scar), but I'm also thinking of getting a couple of Fraxel restore treatments done in a couple of months. Will the Fraxel cause a problem with the filler? Should I try another shorter-term filler first?

Doctor Answers 3

Should I do fillers before Fraxel?

Hi Philly.  While it's not likely that your Fraxel treatment will penetrate to the same depth as the injections, we recommend doing the lasers first and fillers second.  This will help avoid any uncertainty.

Los Angeles Facial Plastic Surgeon
4.3 out of 5 stars 6 reviews

Fillers such as Restylane, Juvederm or Radiesse before Fraxel

It certainly is considered safe to do the filler before Fraxel. The Fraxel won't penetrate the depth that the Radiesse is placed. This also applies to Restylane, Juvederm, Sculptra and Fat Injections.

Ronald Shelton, MD
Manhattan Dermatologic Surgeon
4.9 out of 5 stars 37 reviews

This is a great question

In a perfect world, filler should follow Fraxel. There have been studies to prove the safety of the hyaluronic acid fillers (Juvederm, Restylane) before Fraxel, but I am not aware of studies of calcium hydroxy apatite (Radiesse) or poly L lactic acid (Sculptra). I have performed Fraxel on patient that had these fillers before, but I would consider this anecdotal and based on non-scientific observation of my personal experience. I would certainly wait several weeks before doing the Fraxel.

Mary P. Lupo, MD
New Orleans Dermatologist
5.0 out of 5 stars 18 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.