Thermage 2 Days After Botox

Question

I had my thermage done 2 days after botox injection for forehead lines and Crow's fleet? Will it cause any migration of botox and ncrease the risk of complication? Will it affect the effectiveness of botox? I also had mild reddness and swelling near my left eye corner right after thermage. It looks like a small papule but it is not painful or itchy. Will it resolve soon?

Ron Shelton, MD · Answer

There should be no problems generated by thermage after Botox.  the papule is not easy to explain because of the Thermage, but might it be a tiny bruise from the needle of the Botox?

Ritu Chopra, MD · Answer

Thermage tightens the skin, botox relaxes the muscle, which is connected to the skin. The combo should work very well. A two day delay between the two was smart. One day might have been risky, as the Thermage hand piece is repeatedly pressed down on your skin. But by the two day point, the fluid in the Botox as been absorbed and he botox cannot migrate.

Monika Kiripolsky, MD · Answer

Dear Victoria,

	  Not to worry. . . Even though you don't typically see a decrease in your (dynamic) wrinkles until several days after your Botox injections, the product itself (Botox) is usually taken up by the target neuromuscular junctions within approximately one hour (four hours max). Thus, having Thermage two days following your Botox injections should neither result in migration of the product nor decrease in its ultimate efficacy.

	  With respect to the mild redness and swelling near your eye following the Thermage, as Dr. Steinsapir mentioned, it is likely only an area of transient inflammation that will resolve spontaneously. However, if it persists, worsens, or becomes symptomatic, I recommend that you return to see the physician who performed your Thermage procedure so that he/she could evaluate the area of concern in person.

	Take care, MK

Kenneth D. Steinsapir, MD · Answer

VIctoria

	Two days after a BOTOX treatment, Thermage is extremely unlikely.  Regarding the other issues, these treatments can cause transient inflammation in the skin.  If anything persists, contact your physician and be seen.

Ben Behnam, MD · Answer

Hi, I would not recommend Botox and Thermage on the same day but several days apart should be fine. I don't think you are going to cause migration of the Botox if Thermage is done several days later. Also, it should not affect the efficacy of Botox either. The mild redness and swelling near the left eye corner right after Thermage is just temporary inflammation of the skin. In some people, Thermage will make them very inf lammed.This should resolve.

Thermage 2 Days After Botox

Answers (5)