How Long Between Botox and EMatrix

Doctor Answers 9

Botox and laser treatments

There are two points to consider.

1. If you and your doctor agree to do both treatments the same day, then you should do the laser first, followed by the Botox.

2. If you want to improve the results possibly, by having the laser resurfaced skin, whether by Fraxel Restore, Fraxel Repair, Ematrix or other lasers, then you can consider having the Botox, Dysport, Xeomin, done two weeks prior to the laser resurfacing so that the laser is done on more relaxed skin and when the new skin heals after laser it is healing on a smoother, less wrinkled undersurface.

Manhattan Dermatologic Surgeon
4.9 out of 5 stars 38 reviews

You don’t need take any time between BOTOX and Ematrix

You don’t need take any time between BOTOX and Ematrix.  If you are doing them in the same visit, I would do the Ematrix first, followed by the BOTOX.  But, it doesn’t really matter.

Joseph A. Eviatar, MD, FACS
New York Oculoplastic Surgeon
4.7 out of 5 stars 66 reviews

Best Time to Have E-Matrix Treatment After Botox Injections

Hi T,

We advise our patients to wait 24-48 hours between having Botox/Xeomin/Dysport injections and procedures with devices that cause soft tissue swelling because we do not wish for the neuromodulator to spread to unintended areas.  Good luck and be well.

Dr. P

Michael A. Persky, MD
Encino Facial Plastic Surgeon
4.8 out of 5 stars 36 reviews

Time between Botox and Ematrix.

We ask our patients to wait 2 weeks between Botox treatments and laser procedures. The two week time period is the time in which full effect of Botox is generally seen.

Anifat Balogun, MD
Seattle Otolaryngologist

How long between Botox and laser treatments

Although most of Botox is bound to the nerve endings within the first hour to two of injection, I prefer to wait for two weeks after the Botox injection before doing laser procedures.

The full effects of Botox are seen at approximately 2 weeks.  The choice of what needs to be done with the laser may be affected by what the final results are.

Emily Altman, MD
Short Hills Dermatologic Surgeon
5.0 out of 5 stars 4 reviews

How Long After Botox Treatments Before Having Other Procedures

Within 20 to 90 minutes after Botox is injected, botulinum neurotoxin type A can be detected inside the motor nerve endings. Therefore the muscles and nerve endings take up Botox very quickly before it can spread far from the injection site. There are many factors that can affect Botox or Dysport uptake including muscle size, amount of nerve innervation, nerve stimulation, muscle activity and metabolism.  It is generally felt that after sixty minutes the reaction is over and it is safe to do anything. So either have the eMatrix treatment first or wait at least one hour after your Botox injection.

Mitchell Schwartz, MD
South Burlington Dermatologic Surgeon
4.7 out of 5 stars 12 reviews

Botox and when you can have other procedures

Generally it is recommended to not lie down or have your head below your heart/ bend over for 3-4 hours after having botox. The concern is having the botox migrate from the area it was placed. If that does happen you can end up with a droopy eyelid or asymmetrical response in your botox treatment.

It is usually okay to have the fractional treatment first, then botox following. The only reason you may not want to do that is if you are going to have swelling from the fractional treatment, this too can cause the botox to migrate. It is always best to discuss this with your treating physician

Lori A. Brightman, MD
New York Dermatologic Surgeon
4.5 out of 5 stars 11 reviews

Botox and Laser treatments

I perform fractional resurfacing in my office. I always wait 2 weeks between Botox treatment and any laser resurfacing. Although EMatrix is not a CO2 laser, I would probably still wait 2 weeks between the two treatments.

Ben Behnam, MD
Santa Monica Dermatologic Surgeon
5.0 out of 5 stars 2 reviews

You should wait one hour after BOTOX® before having other treatments on that area

Most of the BOTOX® [or other formulations of BTX-A] is either taken up by the nerve endings in the treated area or washed away by natural circulation during the first hour after injection. For that reason, you should leave the treated area alone [no rubbing, massaging, etc] during the first hour, so that the BTX-A will not be moved out of the treated area -- or moved into an area [like the eyelid] which you did not want treated.

After the first hour, you can do whatever pleases you.

Because that is the way it works, if you are going to have several kinds of treatments on an area, it is best to do the other ones first then finish off with BOTOX®.

Kevin C. Smith, MD
Niagara Falls Dermatologic Surgeon
4.7 out of 5 stars 4 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.