Are Lasers and Near-infrared Safe After Facial Fillers?

Combination treatment is key in everything that we do. Filler and Botox can't treat everything and have to be looked in a way that can bring the final result all together, which is aesthetic rejuvenation.
Not much research has been done to see what happens to the fillers if a radiofrequency device or laser is shot at it. There have been some reported cases of adverse events and foreign body reaction and granulomas that have occurred after laser treatment, but many more that have occurred without. So no one can say that the cause was actually the machine or the device.
You play it safe when you treat with laser first and then put in the filler after a few days to a week, but treatment on the same day should not be stopped if the patient is unable to come back for treatment. Informed consent should be given and treatment can be commenced with no major problems.
I have always combined treatment sometimes on the same day and had never had any complaints. Combination treatment, however should be catered to the inidvidual. For example, you do not want to combine Thermage with a medium peel as that will cause much great discomfort and downtime to the patient.
Practicality and caution should always be exercised.

Fillers and laser and light devices are the one-two punch of non-surgical rejuvenation and we do it everyday. There have been studies that show that even more aggressive lasers like CO2 do well in patients who have been filled. A synergy of benefit has also been postulated.