Will Ultherapy Destroy Existing Fillers?

Question

I have been using fillers (Restylane & Radiese) in the cheek & nasal labial area for a few years. I also have dental implants. His does Ultherepy affect these?

Sabrina Fabi, MD · Answer

There have been a couple of studies examining the tissue effects different lasers and energy sources have on an array of fillers at varying times after placement. In these studies, which have included tissue biopsies, there has been no effect on the longevity of the filler. Although studies using Ulthera specifically over fillers have yet to be published, the focal point of the energy being delivered is at the level of the SMAS (were filler is not injected) and then the dermis (and most fillers are placed immediately subdermally), therefore it should have no bearing.  Most practitioners typically wait 2 weeks until treating over a hyaluronic acid or Radiesse, or fill immediately after the Ulthera treatment. Good luck!

Ron Shelton, MD · Answer

I am not aware of any studies that prove Ultherapy ultrasound energy passing through or penetrating to the depth of a filler, either creates an untoward reaction in the filler or hastens its resolution. Yet, I tend to avoid doing Ultherapy directly over the areas of placement of fillers for six months after the filler is injected. If a filler is done to fill out the smile fold, I certainly do perform Ultherapy on the cheek. If a patient is under a time constraint and needs the filler and Ultherapy done soon, then I perform the facial tightening with Ultherapy and will inject the filler immediately after.

Mary E. Hurley, MD · Answer

Rest assured that Ultherapy will not have an effect on your dental implants. In regards to your fillers, Ultherapy usually does not target areas of the face where fillers are typically injected, and it will not affect any previous filler. With that being said, I recommend ideally having fillers injected AFTER your Ultherapy treatment.

Hratch Karamanoukian, MD, FACS · Answer

We avoid Ultherapy in patients who have had fillers for approx 1 month.Having said that, Ultherapy does not target areas where patients have had fillers, except in the upper lip where the new Ultherapy transducers are being used (1.5 mm).In our practice, we recommend Ultherapy followed by filler at the same setting or Ultherapy followed by fillers a week later.

Steven M. Lynch, MD · Answer

Hi,

	  There should be no effect on dental implants with the Ultherapy treatments.  It is possible that fillers can be affected  if the focal points of the therapy go into areas of fillers. 

	  It is possible to see fillers on the Ultherapy screeen and therefore they can avoided as much as possible.  Having said this, it should be discussed with your doctor to make sure that there are no surprises.   Remember too that touch ups with the fillers can always be completed if any change is seen.

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Will Ultherapy Destroy Existing Fillers?

Answers (9)

Answer: Ultherapy before or after fillers

Answer: Ultherapy before or after fillers

Answer: Ultherapy and fillers and dental implants

Answer: Ultherapy and fillers and dental implants

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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.