Combining Treatments: What Works Together (and What to Space Out)

Botox and filler are routinely done in the same session and complement each other well. Botox addresses muscle movement while filler addresses volume, and the two can be layered strategically — for example, relaxing forehead muscles with Botox while restoring lost temple volume with filler in the same appointment. Most providers do Botox first, then filler, since Botox placement requires precise muscle identification before the tissue is disturbed by filler.

Microneedling and platelet-rich plasma (PRP) are often paired in the same session since the microchannels created by needling allow for better PRP absorption. Light chemical peels can sometimes be combined with certain laser treatments depending on the specific products and devices used, though this requires provider judgment on a case-by-case basis. When in doubt, ask your provider specifically — 'can we do X and Y together, or should they be separate visits?'

Filler followed by certain laser treatments or aggressive chemical peels needs a waiting period — typically two to four weeks minimum. Heat-based devices can potentially affect filler placement and degradation. Similarly, if you've just had a laser treatment that's left skin compromised or sensitized, injecting filler through that skin carries higher infection risk and should wait until healing is complete.

Retinol and strong active skincare should be paused before and after certain treatments. Chemical peels performed on skin that's been using tretinoin regularly can result in over-exfoliation and prolonged healing. Your provider should ask about your skincare routine before any procedure — if they don't, volunteer the information, especially if you're using prescription retinoids or strong exfoliating acids.

The most efficient approach to multiple treatments is to map out a 90-day plan rather than booking individual appointments reactively. If you want Botox, filler, and a laser treatment within a season, your provider can sequence them to minimize downtime overlap and ensure each treatment performs optimally. Some clients batch injectable treatments together and do skin treatments at separate intervals to manage both recovery and budget.

Be honest with your provider about everything you're having done — including treatments at other locations. Combining Botox from one provider and a deep peel from another within a short window can create complications that neither provider would have anticipated individually. Your full treatment picture should be visible to whoever is seeing you.