Can Botox be done directly before CO2 resurfacing?

I wouldnt use botox before a laser but i would after. I suggest you see an expert.  The best solution is to do the botox 2 weeks before the laser. Best, Dr. Emer.

I am not sure why you are doing a CO2 laser resurfacing but this procedure will tighten the face and probably iron out some of the reasons you might be considering botox.  I recommend healing from the CO2.  You may not need that botox treatment.  If you decide you do, you can have it done after the face.  I suggest you let yourself heal 6 to 8 weeks before deciding on this.

Thank you for asking. I’d avoid doing both at the same time. Botox (whether in the dermis for hyperhidrosis-sweating or in the muscle for wrinkle relaxation) could be affected by the heat of the laser. Best to separate the two. Ask your PS. Best wishes!

Botox is placed deeper under the skin than a laser would reach in CO2 resurfacing.  It is possible that some of the heat from the laser could dissipate a bit deeper though, and I'm not certain if this could affect the Botox.  To be on the safe side, I would recommend having the Botox after the laser.  

Thank you for your question. I recommend having Botox done 2 weeks after laser resurfacing when you are fully healed. This is because in most cases laser resurfacing will stimulate enough collagen to help minimize most fine lines. I recommend bringing up your concerns to your treating physician. Best of Luck!

You should do Botox at least 1 week before the CO2 laser and not any closer as the severe inflammation can cause Botox to migrate and cause less predictable results. 

Thank you for your question.  I strongly recommend either having Botox either two weeks before or after healing from laser resurfacing,  In most cases, laser resurfacing will stimulate enough collagen to help minimize medium to fine lines.  Best

This is an excellent question Wendy.
Botox treatments are best done 2 or more weeks before CO2. Botox reaches its full effectiveness at 2 weeks after injection; your CO2 results will benefit from decreased facial muscle movement while healing from the CO2.
Botox injected directly before CO2 could be affected by swelling associated with the CO2 treatment. Swelling may cause the botox to diffuse away from the intended muscles and toward unintended muscles. This could result in a heavy brow, heavy lid, or less effective result on the desired areas.
Botox is prepared for injection by dissolving it into saline. When injected, the saline spreads into the tissues taking the botox (a small protein) with it. The botox protein then moves from the tissue space into the muscle cells, where it becomes active in relaxing the muscle.
The botox product monograph recommends staying upright for 4 hours following administration. Based on clinical experience, this is likely an exaggerated recommendation.
I continue to recommend waiting the four hours to ensure the botox is completely absorbed in the muscle prior to performing CO2 treatment. The CO2 laser treatment should not cause any harm to the botox protein. 
Additionally, CO2 will not have a negative effect on dermal filler. Filler injections are best done a few weeks prior to CO2 in order to allow both the client and physician to monitor the skin carefully for any potential vascular complications from the filler.
Having your botox treatment immediately after CO2 is less desirable because application of your post treatment products and swelling from the CO2 might result in botox diffusion. Dermal filler immediately after CO2 is not recommended.
Best results will follow a comprehensive plan that incorporates medical grade skin care, botox, and dermal filler treatments well before any CO2 treatments.

The heat of the laser could affect the botox in an unpredictable way giving you uneven results. Also, I do not advise laying flat for at least 1-2 hours following botox. The typical recommendation is 4 hours but research has shown that is likely excessive.

I would suggest either doing Botox a few days after laser resurfacing or at least 3 or 4 days before laser treatment.