Aspen, Colo. — In preventing neuromodulator-related complications, said an expert at the summer Cosmetic Bootcamp (CBC), timing is critical.
Neuromodulator complications can include undesired diffusion, especially after treatment with devices that create edema, most commonly after ablative and nonablative laser resurfacing, said Vic Narurkar, M.D. That’s why he only does same-day neuromodulator injections after procedures that create little edema, such as intense pulsed light (IPL) photofacials and low-fluence, nonablative lasers.
“To do other things like nonablative resurfacing and microfocused ultrasound, I like to stage the botulinum toxin. It’s often advisable to wait until the edema resolves to inject neuromodulators.” With ablative fractional laser resurfacing, he suggested performing neuromodulator injections after reepithelialization. Dr. Narurkar is founder and director of the Bay Area Laser Institute, chairman of dermatology at California Pacific Medical Center, San Francisco, and a CBC cofounder and director.
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