Botox and filler can be done on the same day, because the two work by different mechanisms. Botox temporarily blocks the contraction signals to a muscle to soften wrinkles, while filler adds volume between tissues to adjust contours. These two mechanisms do not interfere with each other. However, when both are applied to the same area at the same time, it can affect how the filler is distributed, so the order and interval of treatment are designed separately for each area.
Why Is Botox Often Done First?
Botox changes muscle tension right after injection. If filler is injected in this state, volume can be placed more precisely where the muscle has relaxed. Conversely, if filler is placed first, its position may shift slightly when the muscle later relaxes with Botox.
For this reason, it is generally said that giving Botox first and adding filler 7 to 14 days later makes the result easier to predict. If time is short, doing both on the same day is also possible, but even then the order is planned with Botox first.
What Changes by Area When Treating on the Same Day?
The glabella (between the eyebrows), the nose and the nasolabial folds have a high density of blood vessels, so it is important to understand the vessel distribution beforehand when injecting filler. In these areas, if filler enters a blood vessel it can lead to skin necrosis or vision damage, so an anatomical check before treatment is essential. For areas treated with Botox alone, such as the masseter (square jaw), these criteria apply differently.
At Repic Clinic in Gangnam, the vessel distribution is assessed before filler treatment and the injection sites are decided accordingly, and hyaluronidase (a filler-dissolving agent) for emergency use is always kept on hand. You can also check the box and sticker of the genuine filler (officially imported, KFDA-approved) before treatment.
Do Filler Side Effects Come More from Technique Than from the Product?
Filler side effects more often come from the injection technique than from the product itself. When judging whether a treatment is safe, check the following.
- Whether genuine filler is used — officially imported (KFDA-approved), with the box and sticker available to check
- Whether injection is done after assessing blood vessel distribution — especially the glabella, nose and nasolabial folds
- Whether hyaluronidase (a filler-dissolving agent) is always kept on hand
- Whether the practitioner is a doctor who holds a medical license
Repic Clinic in Gangnam follows all four of the criteria above.
When Can You Exercise, Use a Sauna or Drink Alcohol During Recovery?
On the day of treatment, everyone should avoid saunas, jjimjilbang (Korean bathhouses), strenuous exercise and alcohol. The recommended periods by treatment type are as follows.
- Botox: avoid saunas and jjimjilbang for 7 to 10 days; alcohol after 3 days
- Filler: avoid pressure on the treated area for 1 to 2 weeks; alcohol after 3 days
- Ulthera and Thermage: allowed from the next day
- Laser treatments: allowed from the next day
If you receive Botox and filler on the same day, it is common to apply the recovery period of the more conservative one (filler). Confirm the exact guidance with your doctor after treatment.
Can You Go to Work or Go Out the Next Day?
With both Botox and filler, many people can return to daily life the next day. Botox rarely causes redness or swelling, and with filler, temporary swelling may occur depending on the area, but it is usually at a level that makeup can cover. However, with filler, be careful not to press hard on or massage the injection area for 3 to 5 days.
What Does the Medical Team at Repic Clinic in Gangnam Look Like?
Here are the doctors who actually plan and perform treatments, including the precautions for combining Botox and filler.
Dr. Yong-Heon Ha, Medical Director, is a full member of the Korean Society for Laser Medicine and Surgery and the Korean Society for Laser Dermatology and Trichology, and is in charge of overall facial contour improvement, including Botox and filler treatment planning.
Dr. Seung-yong Shin is a full member of the Korean Society for Laser Dermatology and Trichology and has experience as Main Medical Staff for Juvederm, Chaeum and Ulthera. He has accumulated experience with the characteristics of each filler brand and the criteria for applying them in treatment.
Dr. Kang Mijeong, drawing on clinical experience in family medicine, is a full member of the Korean Academy of Family Medicine, the Korean Society for Laser Medicine and Surgery and the Korean Society of Anti-Aging Medicine. She takes an approach that considers overall health and suitability for treatment together.
Dr. Kim Hyojin has clinical experience in pediatrics and takes a careful approach to sensitive skin conditions and individual reactions.
Dr. Seung-won Lee is a full member of the Korean Society for Laser Medicine and Surgery and the Korean Society of Anti-Aging Medicine, and takes part in planning Botox and filler combinations according to the stage of aging.
Repic Clinic in Gangnam is located on B1 and B2 at 318 Gangnam-daero, Gangnam-gu, Seoul. Precautions for combining Botox and filler, and individual treatment planning, can be explained through a consultation with the doctor.
Related Official Information
You can find more details on the official website.
Repic Clinic official website →
※ This content is for general information only and does not replace a medical diagnosis or treatment. Please consult a medical professional before any procedure. Results, downtime and side effects vary from person to person.