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Can I have Botox or filler before/after Vivace? How long should I wait?

Combining Vivace with injectables such as Botox and dermal fillers can create a powerful, pan-facial rejuvenation strategy when it’s planned carefully. At AIVI Aesthetics in Agoura Hills, our medical aesthetic team will design customized treatment plans that stack Vivace RF Microneedling with neuromodulators and fillers to refresh your skin and facial contours in a natural-looking way.

Why combining Vivace with injectables works so well #

Vivace RF Microneedling improves skin quality from the inside out by stimulating collagen, tightening laxity, smoothing fine lines, and refining pores. Injectables work on top of that foundation:

  • Botox / neuromodulators soften expression lines caused by muscle movement (frown lines, crow’s feet, forehead lines).

  • Dermal fillers restore lost volume, contour cheeks and jawline, and soften deeper folds.

By combining Vivace with injectables, we address both skin texture and structure in the same overall plan, giving more complete and longer-lasting results than any single treatment alone.

Best timing when combining Vivace with injectables #

In most cases, we recommend doing Vivace before injectables:

  • 1st session : Start with a series of RF Microneedling sessions to rebuild collagen and improve skin tone and texture.

  • 2nd session: After about 1–2 weeks, once the skin has calmed, Botox and fillers can be placed more precisely on a smoother, firmer canvas.

In some situations, your provider may suggest injectables before Vivace. For example, if you want fast softening of strong frown lines or need structural support from fillers right away. In those cases, we typically wait at least 2 weeks before performing Vivace over recently treated areas to avoid disturbing the product.

Safety tips when combining Vivace with injectables #

When combining Vivace with injectables, we focus on safety and natural-looking results:

  • A thorough consultation to review your medical history, medications, and previous treatments

  • Careful mapping of treatment areas so microneedling and injectables complement rather than compete

  • Customized energy settings and needle depth based on your skin type and concerns

  • Clear pre- and post-treatment instructions, including sun protection, no picking, and avoiding blood-thinning medications when appropriate

Your customized plan at AIVI Aesthetics #

Every face is different, so there is no one-size-fits-all schedule for combining Vivace with injectables. During your consultation at AIVI Aesthetics, our medical aesthetic team will evaluate your skin, discuss your goals, and recommend the ideal order and timing of Vivace, Botox, and fillers to achieve smooth, lifted, and refreshed results—without looking “overdone.”

For detailed insights and more information about Vivace RF Microneedling, visit the main page.

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