When can I do Ulthera after a peel?

Question

Hello, how long after having a TCA peel must I wait before having Ulthera. I am just a bit pink. Thanks.

Raffy Karamanoukian, MD, FACS · Answer

We would advise patients to combine Ulthera with chemical peels, Botox, Radiesse, and other fillers. I would recommend Ulthera once the peeled skin is well healed and non-tender. Raffy Karamanoukian, Los Angeles

Ron Shelton, MD · Answer

There are many variables when doing chemical peels. There are superficial (very superficial or superficial), medium and deep chemical peels (the latter are rarely done these days). Depending on which peel a patient has, the amount of exfoliation or epidermal loss can be significantly different as well as the time required to heal. 

	Ultherapy might be done sooner after a given chemical peel, if the deeper transducers are used but there might be more time needed if the superficial 1.5 mm. transducer is used as there can be some temporary welts in the skin and this might be exacerbated if done immediately after a chemical peel. 

	Your doctor should advise you.

	The information provided in Dr. Shelton's answer is for educational purposes only and is not intended to constitute medical advice.  The information provided should not be relied upon as a substitute for consultations with a qualified health professional who may be familiar with your individual medical needs.

Michael A. Persky, MD · Answer

Hi Clare,

	I agree with my esteemed colleague, Dr. Weiner.  Once your skin has recovered from your TCA peel then have your Ulthera.  Usually about 2 weeks after the peel is fine.  Enjoy your facial rejuvenation!  Good luck and be well.

	Dr. P

Hratch Karamanoukian, MD, FACS · Answer

Thank you for your question.A multimodality approach to rejuvenation of the face is common to achieve optimum outcomes, from the skin down, which includes treating texture, wrinkles, laxity ...After a chemical peel, I would wait 2-3 weeks before Ultherapy is done.We perform Ultherapy in our Santa Monica, CA offices and WIlliamsville, NY office.Read our Ultherapy book on the link below.

Lee P. Laris, DO · Answer

In my opinion you should wait for at least 90 days to do Ulthera after a TCA peel. Although it would not harm you to do the Ulthera before that, you're cheating yourself. The effects of the peel will take that long to show and the collagen production as a result of the peel will probably not be enhanced by the Ultherapy and visa versa. In other words, the skin is healing from the peel and further treatment during the healing process just causes more damage, slows the initial healing from the peel ( the collagen repair in the dermis you can't see ) and makes the body's work more difficult. In this case, more would not be better and you're wasting your money and taxing your body's repair system. Be patient, slow and steady truly does win the race!!

Steven F. Weiner, MD · Answer

You could probably do the Ulthera immediately after the peel, but because there is liberal use of ultrasound gel, it's better to wait til the skin is done peeling. It really does nothing to the outer skin, so don't worry about affecting results of the peel.

When can I do Ulthera after a peel?

Answers (6)

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