I appreciate your question. Yes, it is quite common to get both dermal fillers and Botox in a single treatment session, since the treatments work on different areas and in different ways. Filler in the tear troughs is often performed using a micro-cannula to minimize bruising after the procedure. Botox is administered using a tiny needle, so the treatment is nearly painless. Keep in mind that even though these treatments are not invasive, they do require a great deal of precision in dosing and needle placement to achieve an optimal result. You do raise a valid concern, because sometimes other fillers lead to some swelling and the muscle around the eye helps to pump it away. If excessive Botox is placed, this could prolong the swelling. If you are prone to eyelid swelling, the first time you should do eye fillers first and two weeks later, add in the Botox. If there are no swelling issues, the next time you could try them together. Make sure the doctor you choose for your procedure is both board certified and highly trained in injectable procedures to ensure your treatment is safe and successful.
Thank you for sharing the question. Botox and fillers can be used the same day, but I prefer not to use them in the same location at the same time. My concern is that Botox could migrate to another location due to swelling caused by the filler. Make sure to see and experienced oculoplastic surgeon to perform your treatment in this delicate area.
