Hello, thank you for your question. There should be no issue with using Botox and fillers at the same time. The key issue is to find a Physician who is well trained in Botox, has a great local reputation, and with whom you feel comfortable.
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.
