Stacking skin care treatments is one of the best ways to maximize your appointments and minimize downtime!

Whether you’re a Skin Pharm regular or new to skin care treatments, we want you to get the most out of every visit. Stacking Botox or Dysport with other treatments and injectables is one of the easiest (and most efficient!) ways to enhance your results. Here, our Dallas provider and nurse practitioner Hannah Vance tells us how!

How often should I get ’tox?

The indication for Botox or Dysport is every three months. It’s easier to remember as a quarterly treatment. Typically, ’tox is strongest at the six week mark and slowly dissipates in strength over the next month and a half. For most people, the three month mark puts them closer to baseline, but some can hang onto it for up to four months!

How should I prep before my appointment?

Botox is a pretty low-key treatment, and prep is pretty minimal! To reduce bruising, abstain from alcohol and NSAIDs (ibuprofen, aspirin, etc.) for a few days prior to your appointment. If you’re prone to bruising, start taking arnica supplements the week before. To be treated, you cannot be pregnant or breastfeeding.

What other treatments should you get quarterly?

My personal favorite is microneedling, which can be booked at the same time as your Botox appointment! Microneedling works to increase collagen, decrease pigment and improve skin texture. This treatment stacks well with ’tox because the two work synergistically to give you a smoother complexion. Microneedling is done prior to Botox/Dysport to ensure the toxin stays right where we inject it!

Sculptra is a collagen stimulator that works to restore the skin’s inner structure and volume. Collagen isn’t made overnight, so this treatment takes more time to work than the immediate results you can get from filler. Treatments can be done quarterly to give your skin the time it needs to rebuild that collagen.

Kybella is an injectable fat dissolver often used to treat pesky double chins. If you can time it right, this is another great treatment to stack with ’tox! We recommend 2-4 sessions spaced 12 weeks apart.

What treatments are best with toxin for fall and winter?

Now is the time to tackle your pigment and redness! A BBL photofacial works best when skin is at its fairest. This allows the high intensity light to easily target brown or red pigment, as a tan can mask it. With only slight redness directly following, this treatment is great in combination with Botox/Dysport if you don’t have much downtime!

Can toxin be injected in combination with filler?

Yes! Some areas are actually best treated in combination. For example, a lip flip pairs beautifully with lip filler if you’re looking for fuller lips and a less gummy smile! Botox/Dysport is also great in combination with chin filler. It relaxes the mentalis, the muscle over the chin, which can give the look of recessed chin or chin dimpling.

What should I stack for a big event?

If you want the glowiest skin of your life for a big day, ’tox stacked with a Gold Infusion is the way to go! As with microneedling, we'll do your Gold Infusion before injecting toxin to ensure exact placement. A Gold Infusion can be infused with PRP, Dysport or hyaluronic acid (or all three!) to reduce redness, hydrate and brighten skin. A few weeks before a big event, this treatment combo will give you skin you can’t wait to show off.

If you have more questions about treatment stacking or what's right for your skin, book a skin consult with us — we’ll create a custom treatment plan just for you!