EnerJet after filler treatment. Which is better to do first?

We will have patients wait three weeks after Botox or fillers before using another device or peel.  sometimes we will do the peel first and then have the patient do the Botox or injectable.  Remember that patients should be off of things that can cause the blood to be, "thin", and cause bleeding or brusing. (i.e. aspirin, ibuprofen, ginko, etc;).It is important to communicate with your experienced injector and be on the "same page" as to the desired result.  Please have reasonable expectations.   Jeffrey J. Roth, M.D., F.A.C.S.Board Certified Plastic SurgeonLas Vegas Plastic Surgery

Dear Taltweety,

In general, it is usually preferable to perform the volume HA
injectable to achieve facial shape and structure first. One of the best products for the malar
zygomatic jawline, smile and perioral areas is Juvéderm® Voluma™. Perlane®, Restylane® and Radiesse® may also
suffice in these areas and the undereye region is often best built up with
Restylane®. As a plastic surgeon who
performs facelifts, I have also been performing injectable soft tissue fillers
and Botox® for almost 20 years. I do
prefer the microcannula technique and facial shaping can make an astounding
difference, not only appearance and youth, but also in the appearance of acne
scars, fine lines and wrinkles. If,
following volumization, the superficial texture of the skin still requires
enhancement, I would then proceed to EnerJet™ injections in combination with
fractional technologies, either fractional radiofrequency resurfacing or
fractional laser resurfacing (either light or heavy) in combination with
intense pulsed-light for discolouration.
This multimodal approach to your skin rejuvenation should give you
optimal results.

As one of the physicians who has helped pioneer this
technology in Canada and the world, I do find EnerJet™ very useful, both on its
own and in the combination therapies listed above. At the time of consultation, we can determine
the best strategy and sequence of treatments to optimize your outcomes.

I hope this information has been of some assistance and best
of luck.

Sincerely,

R. Stephen Mulholland, M.D.

Certified Plastic Surgeon

Yorkville, Toronto