When Treatments Work Together: Your Questions About Combination Therapy

Wondering whether you can combine lasers, ultrasound, and injectables? Learn how energy-based devices and injectables work together to lift, firm, and rejuvenate skin naturally and safely.

When Treatments Work Together: Your Questions About Combination Therapy
Photo by Clark Van Der Beken / Unsplash

If you’ve ever wondered whether it’s better to do lasers first or fillers first - or how skin tightening fits in with injectables - you’re not alone.
Many of my patients ask this exact question during consultations.
The truth is, most of the best results come not from one treatment, but from thoughtful combinations that complement each other.

So let’s talk about how these treatments work together - and how we create synergy, not overload.


Q: Why combine treatments at all?

Because no single treatment can do everything.

Energy-based devices like Fotona 4D, Corage 2.0, or Ultherapy Prime focus on skin structure - tightening collagen, stimulating elastin, refining pores, and lifting deeper tissue.
Injectables like Botox, fillers, and skinboosters work on the surface expressions, hydration, and contouring.

When we combine them strategically, we address both the scaffolding beneath and the texture and radiance above.
Think of it as renovating the house and refreshing the interior - both matter for balance.


Q: Is it safe to combine energy devices with injectables?

Yes - when done in the right sequence and with a clear plan.

Each treatment has its own depth of action, from the epidermis (lasers, skinboosters) to the dermis (Corage 2.0) to the SMAS layer (Ultherapy Prime).
I always space and layer them to ensure your skin has time to recover, regenerate, and respond.

For example, a common sequence might look like:

  • Ultherapy or Corage 2.0 first to lift and stimulate collagen at deeper levels
  • Fotona 4D to refine texture and boost surface firmness
  • Skinboosters or polynucleotides to restore hydration and glow
  • Botox or filler last, for finishing touches on expression lines or structure

Q: What’s the best combination for skin quality?

If your main goal is overall radiance and refinement, I often pair gentle laser resurfacing with Fotona 4D and injectables like skinboosters or polynucleotides.
This pairing calms inflammation, strengthens the barrier, and creates that “healthy skin from within” glow.

It’s a soft but transformative approach - like pressing reset on your skin.


Q: What if I just want lifting, not injectables?

That’s perfectly fine.
Many of my patients start with non-invasive tightening treatments like Corage 2.0 or Ultherapy Prime, and we assess results after a few months.
If we notice subtle areas where volume loss affects the overall balance, we can consider small, precise fillers later - never the other way around.

The goal is always natural structure first, then gentle enhancement.


Q: Can these treatments be done in one session?

Sometimes - but I prefer a staged approach.
Your skin is a living organ; it needs time to respond.
Doing too much at once can blur results and increase the risk of irritation.

That said, some combinations are safe and synergistic on the same day - for instance, Ultherapy Prime with collagen biostimulator injections, or laser + skinbooster protocols using very fine, gentle settings.


Q: How do you decide what combination is right for me?

Every plan starts with your skin analysis - including thickness, hydration, elasticity, and pigmentation levels.
From there, I design a sequence that supports your skin’s natural rhythm, not forces it.

At Journey, we don’t chase trends or “stack” treatments for the sake of it.
We build synergy - quietly, precisely, and in a way that evolves with you.