I was wondering if the thermi smooth procedure can be done over dermal fillers?

Question

I have restylane in the tear troughs, and was considering having thermi smooth done under the eyes. Will it affect the restylane, or can the restylane interfere with the thermi smooth treatment itself? Thank you.

Harold J. Kaplan, MD · Answer

Hi Julie.  Although there are no studies to answer your question, we use a bit of common sense.  We try to perform lasers and all other heat generating treatments that we use in the same area as fillers BEFORE the filler treatment.  The reason is that it's possible (not proven) that the heat associated with fractional devices and radiofrequency devices could break down dermal fillers more quickly.  We are not suggesting you wait until your dermal fillers are gone, only that it's possible that heat generating procedures may affect them.

Jed H. Horowitz, MD, FACS · Answer

#ThermiSmooth is great for refining skin 4-6 Treatments done two weeks apart can tighten and improve fine lines.  adding BBL fotofacials and fillers will give you the best result along with retin A  and other skin care.

Larry S. Nichter, MD, MS, FACS · Answer

Yes, ThermiSmooth can be used over your fillers like Restylane or Juvederm and probably will not cause it to go away faster though studies will have to be done to verify this is the case. The reason for this is that the skin surface is heated with the RF whereas the fillers are injected more deeply.  In response to RF induced heat at the skin surface the collagen in skin shrinks when heated to a sustained temperatures greater than 40°C. When the skin is heated to this level, this creates a physiologic process that  stimulates fibroblasts to produce new collagen over time.

Martin Jugenburg, MD · Answer

Thermi smooth may or may not interrupt your dermal fillers. I recommend returning to your injector and discuss the treatment, as they will have a better idea of where the product is and where you will want thermi smooth. All the Best.

Kristie (Kris) Gast, MD · Answer

You can do THERMIsmooth over fillers but I'd wait a month or two. THERMIsmooth will provide you with a more "permanent" change then fillers. It's your own collagen thats built up and healthier skin that forms. Then you get to restart aging...a great time to use products we know work for this area. My favorite is SkinPhD Hermatite Stem Cell serum.

Jonathan Berman, MD · Answer

While ThermiSmooth can be done over dermal fillers without complications, it is not recommended that these treatments be done at the same time. If done simultaneously, the RF energy of ThermiSmooth may dissolve the filler, or other complications may occur. Always remember to speak with a board-certified, experienced surgeon when considering any procedure.

Stanley Kovak, MD · Answer

There are currently no studies demonstrating any negative effects to the ThermiSmooth procedure from the presence of dermal fillers such as Restylane or Juvederm; however, I would recommend against having dermal fillers injected in the area on the same day the ThermiSmooth treatment is performed to avoid any potential reactions. Theoretically the ThermiSmooth procedure could cause Restylane to dissolve more quickly, although the likelihood of this occurring appears small, since ThermiSmooth heats the dermis while a dermal filler injected into the tear trough is placed deeper. As in all cosmetic procedures, it is very important that you meet with your physician to evaluate the area and establish a personalized treatment plan.

Edward E. Dickerson, IV, MD · Answer

Dr. Edward Dickerson describes what precautions should be taken when combining ThermiSmooth treatments with dermal fillers.

Edward E. Dickerson, IV, MD · Answer

Dr. Edward Dickerson describes what precautions should be taken when combining ThermiSmooth treatments with dermal fillers.

Edward E. Dickerson, IV, MD · Answer

Dr. Edward Dickerson describes what precautions should be taken when combining ThermiSmooth treatments with dermal fillers.

I was wondering if the thermi smooth procedure can be done over dermal fillers?

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Answers (15)

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