Is It Safe to Have Thermage After Botox Injection?

Is it safe to have thermage CPT done 1 day after botox injection for Crow's fleet and forehead lines?

Doctor Answers 8

Recommendation is to wait 24 hours after a BOTOX® Cosmetic injection.

It is safe to have Thermage done after a Botox treatment. A few hours after the injection, most of the product has been absorbed and settled. We recommend you wait 24 hours before doing the treatment on the area recently treated with Botox. The biggest contra-indication would be to have thermage done immediately after having a dermal filler injected which could potentially be dissolved by the heat of the Thermage treatment.

Montreal Dermatologic Surgeon
4.7 out of 5 stars 21 reviews

Thermage and Botox

It is very safe to have Thermage and Botox treatments - they can enhance the effects.  You can have Botox and Thermage one day apart, regardless which is done first.  If you are treating different areas, for example Botox for frown lines and Thermage for the jawline, they can be performed on the same day.

Martie Gidon, MD, FRCPC
Toronto Dermatologist
5.0 out of 5 stars 22 reviews

Thermage treatment after Botox injection

Yes, it is safe. It would be preferable to have Thermage done either before botox or wait at least one week after receiving your botox injection. This will reduce the risk of botox propagating.

Teanoosh Zadeh, MD, FRCSC
Montreal Plastic Surgeon
5.0 out of 5 stars 4 reviews

Thermage after Botox

There are definitely no safety issues to be concerned about if you are having Thermage after Botox.  As you probably already know, Thermage is working on the skin and Botox on the underlying muscles. Many of our patients combine the two procedures in close proximity to one another.

Good luck!


Dr. Grant Stevens     

Grant Stevens, MD
Los Angeles Plastic Surgeon
4.7 out of 5 stars 145 reviews

Botox safe after Thermage

Botox is absolutely safe after thermage but I generally recommend waiting 48 - 72 hours after treament mainly to give any swelling from the Thermage procedure time to go away.

Elizabeth F. Rostan, MD
Charlotte Dermatologist
4.4 out of 5 stars 18 reviews

Thermage, radiofrequency waves, nonsurgical facelift

Thermage is a radiofrequency waves that tighten the skin. It is usualy efectiove for any part of the body. It is the "secret" of many celebrities including Demi Moore! It is non-surgical and can especially help that mildly sagging skin that has some uneveness, even cellulite of the thighs. I perform this non-surgical procedure in my office and it usuall takes about one hour. Patients have to be realistic about its results though. It does tighten in the majority of cases but never like a surgical exciusion of tissue. Watych my vieos and further info on website.

Edward J. Domanskis, MD
Newport Beach Plastic Surgeon
4.4 out of 5 stars 27 reviews

Heating tissue such as with Thermage therapy may lessen the effects of botox

Heating tissue such as with Thermage therapy may lessen the effects of botox. While this has not been proven several clinicians have discussed anecdotes of this phenomenon in their expeprience.

Edward Lack, MD
Chicago Dermatologist
2.8 out of 5 stars 5 reviews

Botox and Thermage

I would recommend waiting at least 72 hours after administration of Botox, if having Thermage to the same area.  Secondly, I would consider evaluating your goals with Thermage since the results have been very inconsistent.

Stephen Prendiville, MD
Fort Myers Facial Plastic Surgeon
4.8 out of 5 stars 93 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.