May I Have Ultherapy if I Have Skin Filler Radience?

Doctor Answers 9

Fillers after Ultherapy Treatment

Ultherapy is typically not done over the areas where dermal filler was placed. It is possible to treat over the areas that dermal filler has been placed, but likely the dermal filler could start to diminish quicker. We suggest receiving dermal filler injections 4 weeks after receiving your Ultherapy treatment.

Portland Hair Restoration Surgeon
5.0 out of 5 stars 13 reviews

Timing of facial fillers with Ultherapy

Ultherapy is not typically done in areas where fillers are injected, so it is very likely that those areas will be avoided during treatment. We usually use volume fillers just after treatment, during the same session or a week later. It is OK to get Ultherapy a month after your last injectable filler session. 

Read the Ultherapy ebook provided on the link below. 

There is data to suggest that fillers can augment or stimulate collagen production and may be beneficial in patients who are undergoing Ultherapy. 

Hratch Karamanoukian, MD, FACS
Buffalo Phlebologist
4.8 out of 5 stars 41 reviews

Ultherapy and fillers


  It is possible to have ultherapy after fillers are given but it is also likely that you will lose some volume of the filler if you do the Ultherapy within several weeks of the fillers.

  However, it is possible to see the fillers during the Ultherapy and it can be avoided as much as possible.  In the worst case, the filler would be diminished and it can be touched up at some point after the Ultherapy.

Steven M. Lynch, MD
Albany Plastic Surgeon
5.0 out of 5 stars 18 reviews

Can I have Ultherapy over Radiesse?


We generally don't perform Ulthera over an area that has had filler within one month especially if it is a hyaluronic acid like Restylane or Juvederm.  Studies have shown what doing Ultherapy after one month over fillers like Sculptra and Radiesse don't cause any adverse effects including dissolving the filler.  The reason for this is that collagen has already modeled around the filler after one month.  You can actually visualize any Radiesse during an Ultherapy treatment.



Dr. Liu

Grace Liu, MD
Newport Beach Dermatologic Surgeon
4.9 out of 5 stars 50 reviews

Ulthera on fillers

It is best to not use Ulthera where fillers have been injected.  In many cases, fillers are injected in the lines around the mouth.  Fortunately, Ulthera is not used in these areas. The problem with using Ulthera on areas treated with filler can arise if filler is injected in the cheeks for augmentation and contouring as this is where ulthera is also used in treatment and could degrade the filler. It is not clear what Ulthera's effects are on fillers and is thus best to avoid using it where fillers have been injected.  

Ritu Saini, MD
New York Dermatologic Surgeon
4.5 out of 5 stars 8 reviews

Ultherapy is done before fillers, usually

There is a question as to the effect Ultherapy may have if performed immediately over and through the area filled. Can the energy alter the molecular structure of the product  or can it hasten the disappearance of the filler?

This is why a cosmetic consultation is so important before embarking on having a treatment with any laser or injection of Botox or Filler. If there were filler in the lips or smile creases and the Ultherapy is not intended to treat those areas on that patient, then there would not be an issue, but if there had been panfacial augmentation with fillers in the cheeks, then Ultherapy might be postponed for six months or more, to protect the patient's investment of cost in those fillers. There may be studies that are ongoing and the results might prove there not to be any negative effect of Ultherapy on fillers, but until that time, I suggest to my patients who are now interested in having Ultherapy to wait six months after fillers if they had fillers in the cheeks.

There may be more of an issue with the new 1.5mm superficial transducer affecting fillers in the smile folds or lips and even cheeks, as this is closer to the depth of fillers than the 3mm or 4.5mm deep transducers. The deeper transducers might allow the ultrasound to pass through the fillers without heating the products as the energy is absorbed below their level and the heat generated may be confined to that plane without affecting the fillers.  More investigation needs to be done to answer this question.

Ronald Shelton, MD
Manhattan Dermatologic Surgeon
4.9 out of 5 stars 38 reviews

Ultherapy Works With Fillers

We believe you can, but be sure and let your provider know where and when you had the dermal filler injected. We typically treat with Ultherapy first, then inject dermal filler afterwards, and can do this the same day.

James Chan, MD
Portland Facial Plastic Surgeon
4.9 out of 5 stars 58 reviews

It depends on where the filler has been placed but generally it should be ok

treating the skin with ultherpay over areas of a filler does not cause any damage.  The issue is can it reduce the longevity of the filler in the skin.  Generally radiesse (formerly know as radiance) is placed in marionette lines and laugh lines.  These are areas that we generally dont treat with ulthera.  If Radiesse was placed i n cheeks, treating with ultherpay may reduce how long the radiesse lasts.  But this question has not been fully studies scientifically.

Cameron Rokhsar, MD, FAAD
New York Dermatologic Surgeon
4.5 out of 5 stars 35 reviews

Radience after Ultherapy

All typical fillers should wait about six weeks before or six weeks after Ulthera.  One concern about injecting fillers before the Ulthera treatment is that the filler may be affected by the Ulthera and dissolve the product.  We do not use Radience in our practice however we do use Radiesse and other Hyaluronic acid fillers. 

Stefan Mark Szczerba, MD
Chicago Plastic Surgeon
5.0 out of 5 stars 37 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.