Fraxel Laser and Sculptra at the Same Time?

I read a response that it's ok to use Fraxel after Sculptra. What is Sculptra encapsulated in? If Fraxel removes tattoo ink by causing your body to have an immune response to what the ink is encapsulated in, wouldn't it be contraindicted for Sculptra or other fillers that are not in gel form?

It seems you would get lumps, cysts, and create a foreign body response. Please answer. This is confusing but very important for people to know.

Doctor Answers 4

Fraxel and Sculptra is a great combination

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Fraxel and Sculpra can be done together and can improve, lines and texture with the fraxel and volume loss in the face with sculptra. The fraxel works superficially while the Sculptra is placed deeper. 

Orange County Dermatologist
4.4 out of 5 stars 25 reviews

It is safer to do Fraxel first, then inject Sculptra

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In our office, we have done lasers and injected Sculptra at the same time, however we have always done the laser procedures, such as Fraxel first, and then injected Sculptra or other fillers. I just feel it is safer.

Nissan Pilest, MD
Irvine Dermatologic Surgeon
4.6 out of 5 stars 23 reviews

OK to use lasers over Sculptra, but not the same day

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We will even combine the Mixto with Sculptra at the same session, but we complete the Laser first. There is no understanding of the effect of heating on any of the injectables when they are first placed, so we use the order of Laser - filler injectable - Botox, if we are combining treatments in an enhanced liquid lift.

Regarding Fraxel and tatoo - there are much better lasers for tatoo removal then either CO2 or Erbium so we will use other machines.

We have done Sculptra since it first arrived in the U.S. and have yet to have our first lump or reaction. Consistent good results require preparation of material with an overnight wait before injecting and careful technique.

Dr. Mayl

Nathan Mayl, MD (retired)
Fort Lauderdale Plastic Surgeon

Fraxel Laser and Sculptra in the Same Patient

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Hi Awalk,

Sculptra is Poly L-Lactic Acid, the same material that Vicryl absorbable suture material is made of. It is injected and over time stimulates an inflammatory reaction that adds volume to the area injected. Sculptra is injected deep, below the dermis, and where possible just above the periosteum of the facial bones.

Fraxel penetrates at maximum 1.6mm which is well above where Sculptra is injected. If injected using improper technique, Sculptra can result in granulomas, but Fraxel should not have any effect on properly placed Sculptra or exacerbating complications from it.

Be well.

Dr. P

Michael A. Persky, MD
Encino Facial Plastic Surgeon
4.8 out of 5 stars 39 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.