Will Q-switched YAG Laser Melt Belotero Filler?

Question

Hello, could a Q-switched laser melt Belotero filler placed more superficially in the cheek area? Thanks.

Nana N. Mizuguchi, MD, FACS · Answer

Theoretically, a laser should not break down Belotero, although if a client were chosing to two procedures, laser and an injectable, I would recommend undergoing laser procedure first. The Belotero should not be injected immediately prior to a laser procedure or immediately following the procedure because of the heat produced in the skin. Heat causes vasodilation and increases the risk for bruising. Belotero should be injected 24 hours or later after laser treatment.

Sam Naficy, MD, FACS · Answer

This has been a topic of debate for some time about lasers and dermal fillers. Lasers do create heat and depending on the wavelength some penetrate the surface of the skin deeper than others. It is highly possible there could be some disruption of the filler previously placed.

Harold J. Kaplan, MD · Answer

Hi Claremont? It's a great question. Superficially place Belotero may very well be in the same plane (depth) as the q-switched laser would be penetrating to. But the bottom line is that we do not know of any studies that have looked at this phenomenon so what we do instead is try to finish the lasers before we move to injections or use a deeper injection product.

Ritu Saini, MD - Account Suspended · Answer

Although it is not completely clear, there is some thought that the heat generated from the laser can melt or dissolve filler. We tend to try to do laser treatments prior to fillers for this very possibility. This is especially relevant when using a superficially placed product like Belotero.

Will Q-switched YAG Laser Melt Belotero Filler?

Answers (4)

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