Should one try microneedling or Vivace before or after dermal fillers, or does it matter? Can the one neg affect the other?

Question

I'm looking into both filler options to address loss of facial volume (cheeks) and skin rejuvenation. My skin concerns are acne scarring, hyperpigmentation, large pores and skin texture. As such, I think reg microneedling or Vivace are the options I'd like to try. Since the benefits of these treatments include collagen stimulation and maybe skin tightening, should I try these before getting fillers....or does it matter? Can Vivace still work on a face that has had filler (e.g. Voluma) injected?

Jason Emer, MD · Answer

fillers can be done at the same time or different times then MNRF like vivace.  I dont like that device much I find that morpheus/fractora are better especially when combined with lasers like halo or clear and brilliant.

at home peels like cosmelan, enlighten and aerify along with dermarolling (MTS roller with anteage MD ampules weekly, see link) should be started now to prevent further aging.

For facial rejuvenation,  I would suggest a combination approach of 
1) skin care with products and PRP/microneedling
2) PDT light therapy few times a month with growth factors
3) laser treatments like clear and brilliant regularly and a few times a year Fraxel/halo Viva, Co2/Erbium
4) Sculptra injections a few times a year for collagen production with fillers like juvederm/restylane/belotero/radiesse/bellafill
5) thermage/ultherapy for yearly skin tightening with or without PDO or cone based instalift threads for lifting
6) botox every 2-3 months to stop movement lines and prevent lines at rest
7) deep microneedling RF like Fractora/morpheus8 for tightening of the skin
8) Vascular laser like vbeam/excel V or BBL forever young treatment every quarter (3-4 months)

Best, Dr. Emer.

Susan Fox, DO, RPVI · Answer

Hello, I would recommend doing a series of vivace treatments first.  Since vivace does stimulate collagen in the skin you may end up needing less filler down the road.

Should one try microneedling or Vivace before or after dermal fillers, or does it matter? Can the one neg affect the other?

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Should one try microneedling or Vivace before or after dermal fillers, or does it matter? Can the one neg affect the other?

Answers (2)

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