Can I do chemical exfoliation and/or microneedling after restylane injections?

Question

Hello, I got some restylane injections in some acne scars a few days ago. How long before I can start to do chemical peels and microneedling? Thank you!

Raffy Karamanoukian, MD, FACS · Answer

Acne scars are usually characterized within the subtypes of atrophic, hypertrophic, pigmented, or inflammatory. These subtypes of acne scars can be visually discerning in ambient light and can cause significant cosmetic concerns. Indented and atrophic scars require a combination approach to stimulate collagen and elastin, thereby smoothing contour and uneven skin. These are usually combined with lasers and depigmentation protocols to reduce inflammatory hyperpigmentation (Melarase AM and Melarase PM). Our Hidef protocols for acne scars include fillers such as Sculptra, Juvederm, Radiesse, and Restylane to improve deep acne scars; Vascular lasers to reduce inflammation and post-inflammatory redness and erythema; Fractional lasers to smooth contour and collagen; and Fractional RF to stimulate production of collagen within atrophic scars. Textural improvement and superficial scarring can be improved with Cosmelan peels, TCA Cross for ice-pick scars, deep chemical peels, and fractional CO2. We offer a personalized approach to your combination of scars and a formal evaluation with consultation is recommended to help you achieve your final results. Our plastic surgery office offers subcision and combination TCA Cross to help reduce deeply pitted scars. In terms of pigmentation and skin resonance, we recommend daily use of Melarase AM and Melarase PM coupled with Retinoid creams to achieve brilliant skin.

Best, 
Dr. Raffy Karamanoukian
Realself100 Surgeon

Anshul Gambhir, MD · Answer

Thank you for your message! I would let any bruising or swelling settle prior to having microneedling and/or chemical peels. Filler results usually take about 2 weeks to settle, so any time after that you should be okay! Your injector may have a different policy though, so you can always check with them! Thanks!

Johnson C. Lee, MD · Answer

I recommend waiting at least two weeks after superficial filler injections before using chemical peels and microneedling. Hope this helps!Johnson C. Lee, MD 
Board-Certified Plastic Surgeon

Can I do chemical exfoliation and/or microneedling after restylane injections?

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Can I do chemical exfoliation and/or microneedling after restylane injections?

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