Are Botox and Thermage compatible?

Hi Dr Irwin, Can you please tell me if Thermage or radio frequency treatment can be performed if you have had had Botox within a month? I was about to have a radio frequency treatment and when my therapist realized I had recently had Botox, she said I have to wait 4 months to have the treatment as the paralyzed muscle would become irritated from the increased collagen... Is this correct? I have read your article about Thermage and you only mention to avoid dermal fillers and Sculptura... Regards Sharon, Perth Western Australia

She’s not correct on this one.  Botox is injected into muscles and binds there within about 6 hours.  Most doctors tell their patients to be moderately careful for 24 hours or so – ie don’t stand on your head in yoga for 24 hours and don’t lay flat for 6-8 hours. Once Botox is bound to the muscle is not affected by a radio frequency or Thermage treatment.  Dr. I

Dr. Brandith Irwin, MD

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