Should I dissolve fillers before Ulthera?

Question

Because of some uneven facial liposuction, I was left with uneven contours in the mid/lower face and along the jawline. In an attempt to correct this, I have had fillers (Juv & Restylane) placed in the hollow areas to even everything out. Not wanting a lift, but feeling it would help more than fillers, I am ready to try Ulthera but was wondering whether or not I should have the fillers dissolved first with Hyl Acid? I am concerned the fillers would prevent maximum tightening results from Ulther.

Luis A. Vinas, MD · Answer

Ulthera will work with fillers in place. It may dissolve some of the filler. You can re inject fillers after the Ulthera treatment. You should also consider fat injections to correct the depressions.

Young R. Cho, MD, PhD · Answer

I would not dissolve your fillers before your Ulthera result, unless you are unhappy with the fillers regardless of whether you planned to have Ulthera.  I would make sure that your filler treatment is done several weeks to a month before your Ulthera treatment.  The other procedure you may want to consider if you have facial asymmetry after surgery is Sculptra.  It might be a more versatile tool in the right hands to help build more symmetry in the face.

William Ting, MD · Answer

We prefer to perform Ultherapy face and neck skin tightening prior to filler injectable procedures. However, we have had experiences with patients who have done just fine and get good results from Ultherapy having had fillers previously (as short as 4 weeks prior) and have seen very modest degradation of the prior filler injection. Bottomline is we do not know how much of the filler may be degraded from ultrasonic energy delivered by Ultherapy and thus I have a preference of performing Ultherapy first prior to filler injections.

Ron Shelton, MD · Answer

You must be seen in person for an evaluation.  If you had liposuction of the face, then fillers, then hyaluronidase enzyme to dissolve the fat, then Ultherapy to improve the appearance, I would be concerned about too many procedures being done shortly after one another, almost the Yo-Yo effect.  Lifting with Ultheapy should not help a volume deficit problem.

	Before you chase one problem and cause another and create a viscious cycle, I would suggest you allow all the fillers to dissolve normally. Then reevaluate your condition by seeing another opinion. S

Steven Gabel, MD, FACS · Answer

We prefer to perform Ultherapy first, prior to
injecting fillers. The ultrasound therapy could potentially degrade the dermal
filler. Although, it is common for patients to have the Ultherapy after dermal
filler injections (ideally this needs to be 4+ weeks no sooner).  They could experience
mild filler degradation but still tend to have good results. Ultherapy
and dermal fillers are great in combination and work harmoniously. The Ultherapy works to tighten the
tissue, while dermal fillers replace volume loss.

Should I dissolve fillers before Ulthera?

Answers (9)

Answer: Ultheapy for lifting of the face after liposuction and fillers

Answer: Ultheapy for lifting of the face after liposuction and fillers

Answer: Ultherapy and Fillers

Answer: Ultherapy and Fillers

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Should I dissolve fillers before Ulthera?

Answers (9)

Answer: Ultheapy for lifting of the face after liposuction and fillers

Answer: Ultheapy for lifting of the face after liposuction and fillers

Answer: Ultherapy and Fillers

Answer: Ultherapy and Fillers

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Everything you need to know about Ultherapy

Our mission is to create a world where every investment in modern beauty is Worth It.