When is it okay to do Thermage after Botox?

Dr. Irwin
March 27, 2011
Is it safe to have thermage done around 2 days after botox for crow's fleet and forehead lines? Will it cause the migration of botox to other regions and thus causing complication or ineffectiveness?

It’s fine to do the Thermage the next day even after Botox.  It doesn’t take the Botox long to bind to the proper receptors at the junction between the nerve fiber and the muscle.  And, once it’s bound, it’s bound – it really doesn’t migrate.  I ask my patients to be a careful for 6-8 hours but, just to be extra safe, wait until the next day for Thermage.  Dr. I

Dr. Brandith Irwin, MD

Ask me your skincare question!

Hi, I’m Dr. Irwin. I believe that consumers deserve a medically trained and unbiased skin care advocate.

  • All our content is written and researched by myself.
  • My medical office in Seattle has treated thousands of patients for 15+ years.
  • This site is not affiliated or financially tied to any product, treatment or device.
Ask Me Something
SkinTour Skincare
One of the best investments in your skin is your daily skincare. Why? Because you can prevent many problems with blotchy skin color, lack of glow, texture, some types of acne, and fine lines with good skincare products. You can also correct some of these problems with effective skincare products. Great skincare is often more expensive because quality ingredients are expensive. Some companies spend on research/development which benefits all of us and adds to the cost. Are they worth it? In general - yes! I have handpicked some of what I consider to be the best skin care products, and offer them for sale on SkinTour's shop. This is based on my team and I's testing and research at our clinic. Many of the products are in my own regimen. What could be better than using skin care products a dermatologist uses?!
Browse Shop