Can I use Botox after injected Ellanse?

Thank you for your question! Yes, BOTOX and Ellanse are completely different and there is no reason why you can't have BOTOX now, 2 months after filler treatment. Best of luck! 

Botox, Dysport, and Xeomin lock the release of a chemical called acetylcholine, which triggers the muscle contractions that create wrinkles. Botox, Dysport, and Xeomin essentially paralyze the muscles and stops them from contracting. Results from these treatments are visible within 3-7 days with results that can last anywhere from 3-4 months. It is fine to have botox and fillers 2 months apart. They can also be done at the same time. Hope this helps.

Thank you for your question viollet1984. 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 in the office where I can view the skin in multiple angles and observe wrinkles formed with facial expression. However, I hope the information provided here is useful.The pivotal studies used 20 units of Botox in the glabella area between the brow to address the frown lines. These studies demonstrated that the peak results are seen 14 days after the treatment and most people enjoy their results for 3-4 months. At that point, a maintenance treatment is recommended. While some people start to see results as early as the next day, it can take two weeks for full results so patience is important. We have our patients return two weeks after their treatment to assess their results via photographs. At that time additional units may be added if necessary.When patients present with concerns about specific wrinkles in the upper face such as the frown lines, I always assess and usually treat the other wrinkles in the upper face including the horizontal forehead wrinkles and crow’s feet. The reason is to maintain a harmonious and natural balance to the appearance of the upper face. The muscles in the glabella which are responsible for the formation of the frown lines serve to pull down on the inner brows when a person frowns. Similarly, the muscles around the eyes which are responsible for the formation of the crow’s feet seen when smiling (orbicularis oculi) are also responsible for pulling down on the brows, but in this case the outer brows. On the other hand, the muscle in the upper forehead which is responsible for the formation of the horizontal forehead wrinkles when a person raises the brows (frontalis) serves to pull the brows upward. If one of these muscles is relaxed with Botox and the others are not, the other muscles will still be active. This will lead to an unbalanced and unnatural appearance of the upper face where the brow can be elevated, depressed, or uneven in shape or position. Therefore, I recommend that my patients take a global approach to the upper face when receiving Botox treatments and treat all three of these areas. Sometimes bunny lines on the bridge of the nose are also treated.Ellanse is a dermal filler not available in the United States at this time. Unlike many common dermal fillers, the active ingredient is not hyaluronic acid; instead it is a different material called polycaprolactone. Having a previous dermal filler treatments two months prior is not a contraindication to having a Botox treatment. If I had a patient with the concern described here I would say that a Botox treatment would be safe at this time.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!

Yes, BOTOX and Ellanse are completely different and there is no reason why you can't have BOTOX now, 2 months after filler treatment.
Good luck!
Dr Christopher Macdonald 
CRM Aesthetics 

Botox can be used even at the time of Ellanse injection. Ellanse is a wonderful filler but it takes care of, mainly, volume. Botox weakens muscles allowing skin to relax and "rebuild" itself. Good luck!

At this point, it has been 2 months since your filler treatment and I believe you will be okay having the Botox treatment.

if you believe you need more muscle relaxation in your forehead, then you can definitely add Botox. Good luck from New York City

Hey Viollet! Fillers are fine to have botox injected further down the line - but if you ever wanted further fillers in the same area there is a risk in reaction. Just something to bear in mind for the future.

Thank you for your question.  It’s been 2 months since your filler.  It should be safe to do your Botox. Please make sure you see an experienced physician.
Best of luck