A very common question is whether LDM can be done on the same day as Rejuran, or whether LDM should come first and Botox a few days later. Some worry that getting the order wrong will stop the earlier treatment from settling in, while others figure it is just one more gentle session, so what could be the problem. This article explains how the order and spacing are decided when you plan LDM alongside other treatments, and where the decision belongs in consultation.

The short answer

What sets the order and spacing is not LDM but the treatment you pair it with. Depending on whether that treatment delivered heat, inserted something into the skin with a needle, or removed the surface layer, the answer shifts between continuing on the same day and leaving days to weeks in between. Add the skin's reaction that day and your upcoming schedule, and the same combination can get a different answer, so the conclusion is reached in consultation. LDM itself sits under the "skin care" category at ATTITUDE Clinic, listed separately from lifting and injections, and is offered in two time options, 6 minutes and 12 minutes (Treatments and Pricing).

What actually gets in the way when pairing LDM with other treatments

The most common misconception is that a gentle session can be layered on anytime. At the other extreme, some are convinced it can never be combined with anything else. What actually matters is not the strength of the stimulation but the overlap. Treatments that use heat leave redness, warmth and swelling behind, and treatments that inject something leave a period while that material settles. Layering another treatment on top makes it hard to tell which one caused the reaction, and it delays the point at which you can adjust the intensity.

Cross-section of skin with injected material settling in place

The American Academy of Dermatology describes the recovery process in quite concrete terms. Taking peels as an example, superficial peels take 1–7 days to heal, medium-depth peels 7–14 days, and deep peels 14–21 days, with redness, swelling and peeling appearing in sequence during that time (AAD: Chemical peels FAQs). Stronger treatments need longer recovery, and a longer recovery pushes the interval to the next session further out as well.

Another easily missed point is what happens when recovery periods overlap. If the reactions from two treatments rise at the same time, it becomes hard to tell which one is normal and how far, and adjustments get delayed accordingly. If you have something coming up, that overlap becomes a real burden.

What decides the order

The first factor is what the paired treatment leaves in the skin. Whether it delivers heat, inserts something into the skin with a needle, or removes the surface layer changes where the follow-up session fits. The second is depth and intensity. Even with the same treatment name, how deep it reached and how the intensity was set change how much room the skin has that day. The third is the skin's reaction that day. How much redness came up, how much swelling there is, and whether pressing leaves soreness all give you grounds to judge whether continuing is safe.

The AAD recommends that during a pre-treatment consultation you be told the indications, risks, benefits and alternatives, and that you also check the procedure time, number of sessions needed, recovery period, and preparation and aftercare (AAD: Questions to ask before a cosmetic procedure). The same approach works when asking about order. Instead of asking whether you can do treatment B after treatment A, telling them when you had which treatment and what and how much was used makes the answer far more concrete.

The ATTITUDE Clinic column also advises that bringing a record of previous treatments, including the device, shot count, product and volume, date and the reaction at the time, helps the review (Why do results differ even with the same treatment?). With a record, it becomes possible to gauge on the spot whether the order needs to change or more spacing is needed.

How many days apart?

Spacing is set by when the paired treatment's recovery ends and by your goal, rather than by a fixed number of days. According to AAD material, the interval for repeat treatments is something the treating physician should tell you, and some treatments, like deep peels, can only be done once in a person's life (AAD: Chemical peels FAQs). The longer a treatment's recovery, the longer the gap to the next one becomes.

In practice, four factors separate the intervals. How fast the visible reaction subsides, how sensitive the skin has become, how long the paired treatment's changes take to settle, and how many days remain until your upcoming event. Where these four overlap is your next treatment point. Sensitive skin subsides more slowly, so the interval stretches, and if your schedule is tight, it is better to change the order or split the sessions rather than cramming them together.

The specific LDM interval is decided in consultation after weighing the factors above. The same combination can get a different answer depending on the skin's visible reaction and recovery speed, so it is better to go by the day's condition than to memorize a fixed rule.

How are the time and number of sessions divided?

At ATTITUDE Clinic, LDM is offered in two time options, 6 minutes and 12 minutes (Treatments and Pricing). Since the time is divided, which concern gets how much time, and whether to focus on one goal or spread across several, is also decided in consultation.

The number of sessions also depends on your goal and skin condition. The AAD, using peels as an example, notes that 3–5 sessions may be needed to reach the desired result, with 2–5 weeks between them (AAD: Chemical peels FAQs). These figures cannot be transferred directly to other treatments, but the structure is the same: with repeat treatments, the number and the interval are set together.

Even with the same analysis, which combination, in what order and at what intensity, should be decided differently for each person, because skin type, thickness and regeneration speed differ (Why do results differ even with the same treatment?). So rather than a number of sessions, it is easier to plan around where your skin is right now.

Table 1 How are the time and number of sessions divided?
Category Purpose per ATTITUDE Clinic information What to check when planning together
Lifting (ultrasound, RF, microwave, 3-wavelength laser) Warming the deeper skin with ultrasound, RF, microwave or laser for elasticity When the heat's redness and swelling subside, and whether to do it the same day or split
Pores and scars (e.g. Potenza) Delivering RF to the dermis with fine needles or micro-exfoliation Whether needle stimulation is still fresh, and whether it overlaps with exfoliating care
Pigmentation and redness (Pico toning, Vbeam, etc.) Managing pigment and brightening, redness and vascular lesions Whether the pigment reaction is rising, and your UV exposure history
Injections (Botox, dermal filler, skin booster) Direct delivery to muscles, volume or the skin's base layer Whether the injected material is still settling, and whether the injection site overlaps
Skin care (LDM, etc.) Gentle care focused on soothing and hydration The type and recovery stage of the paired treatment, and whether it is the 6-minute or 12-minute option

Swipe sideways to see the whole table.

In short What sets the order and spacing is not LDM but what the paired treatment left behind in the skin. After checking whether heat was used, whether needles were used, whether the surface was exfoliated, and the day's reaction, you decide whether to continue the same day or leave a few days. If you are unsure, it is faster to tell them the date, the device and the product before the treatment name.

If this sounds like you

Woman standing in a bright room holding a white dress

When a wedding or shoot date is set

If the date is fixed, it is hard to extend the interval. In that case, it is better to change the order or push treatments with long recovery until after the event. If you plan a treatment alongside it, that treatment may leave redness or swelling, so set the timing in consultation with a buffer before the important day.

Woman touching her cheek while talking with a clinician in scrubs

When you have already had a laser or skin booster

The most common situation. Telling them the date and area, the device and product used, and the reaction at the time lets them judge whether continuing is safe. Whether redness remains, whether swelling has gone down, and whether pressing leaves soreness become the day's criteria.

Woman with slightly red cheeks talking face to face with a clinician

When your skin is sensitive or reddens easily

Sensitive skin reacts more strongly even to the same intensity and takes longer to subside. So the interval gets longer, and the plan is split rather than crammed. This is also why skin type, thickness and regeneration speed divide the results.

Woman with a suitcase beside her talking with a staff member

When you are a short-stay international visitor

If your schedule is short, it is hard to include treatments with long recovery. It is better to first sort out which combinations can be finished within your stay and which items to defer to your next visit. If you have had treatments in another country, please tell them the device name and date as well.

Please tell us before your consultation Recent UV exposure (travel, outdoor activity, tanning) / Medications you take and products you apply to the skin (such as retinol) / Recent treatment history (device, shot count, product, volume, date, reaction at the time) / Reactions you experienced after past treatments (bruising, redness, pigment changes) / Upcoming events (wedding, shoot, travel) / Pregnancy and breastfeeding status, allergies

How ATTITUDE Clinic proceeds

  1. Clinician holding a skin analysis camera to a patient's nose
    AI skin analysis record — Your skin condition is recorded and organized so you and the doctor look at the same information. The analysis tool only records and organizes information to assist the consultation; it does not make a medical diagnosis, and the judgment is the doctor's.
  2. Two women talking at a desk in a consultation room
    Doctor consultation — Your concerns, lifestyle habits and previous treatment experience are added to the record to decide together what is needed and what is not, and in what order and at what interval. If there is a treatment to be combined, the date, device and product are checked first.
  3. Clinician using a device on the face of a woman lying on a treatment bed
    Treatment performed by the doctor — The doctor performs the treatment directly according to the plan set in consultation, adjusting intensity while watching the skin's reaction during the session, so that planning and execution stay aligned.
  4. Two women talking on a bed, one a patient and one in clinical attire
    Recovery and follow-up check — The timing of the next session and aftercare methods are organized and explained, and any unexpected changes are checked.

At ATTITUDE Clinic, treatments are introduced under lifting, pores and scars, pigmentation and redness, injections, and skin care, with LDM under skin care. Lifting lists ultrasound-based devices separately from RF, microwave and 3-wavelength laser devices, so which method suits the same elasticity concern is decided in consultation. As a rule, prices are disclosed per category (Treatments and Pricing).

Aftercare and side effects

  1. Woman lying on a recovery bed with cooling pads on her face as a nurse covers her with a blanket
    Soothing — Warmth may remain on the day, so postpone saunas and harsh exfoliating care. If you had a treatment alongside it, that treatment's instructions take priority.
  2. Woman with tied-back hair applying moisturizer to her cheek in front of a mirror
    Moisturizing — Dryness slows recovery. The AAD advises applying moisturizer after a peel as directed, and explains that skin can crack if it becomes too dry, which can lead to scarring (AAD: Chemical peels FAQs).
  3. Woman applying sunscreen by a window with a hat and cosmetics on the table
    Sun protection — Avoid UV while recovering, and applying sunscreen daily even afterward helps maintain results. The same material explains that when UV is not blocked, the risk of infection and scarring rises sharply.
  4. Gloved clinician gently examining a woman's cheek
    Follow-up check — The speed at which redness and swelling subside determines the next session point. If pressing leaves soreness or bruising lingers, tell them that too.

Common reactions are redness, swelling, tenderness and bruising. They are common after lasers, energy devices and injections, and usually subside within a few days. Rarely, pigment may temporarily darken or lighten, blisters may form, lumps may appear after injection, or burns or scars may occur (Why do results differ even with the same treatment?).

There are signals you should check without waiting. When stinging, itching or swelling at the treated area does not subside, when it spreads instead of improving after a few days, or when blisters form or a wound is scratched and worsens. The AAD advises contacting your doctor if the skin burns, itches or swells (AAD: Chemical peels FAQs).

FAQ

Can LDM be done on the same day as other treatments?

It depends on what you are pairing it with. After a heat-based treatment, check how much redness and warmth came up; after a needle-based treatment, check where the injection site is. Whether continuing is safe is decided by looking at the day's skin condition. In consultation, telling us the type and time of the treatment you are combining speeds up the judgment.

Should LDM come first, or should the other treatment come first?

There is no fixed order, and which comes first is also decided in consultation. The order is set by looking together at what the paired treatment leaves in the skin, its recovery period, and your upcoming schedule. If you have a record of previous treatments, tell us the device and volume, the date, and the reaction at the time. That record becomes the basis for judging whether to change the order. There is no fixed order, and which comes first is also decided in consultation. The order is set by looking together at what the paired treatment leaves in the skin, its recovery period, and your upcoming schedule. If you have a record of previous treatments, tell us the device and volume, the date, and the reaction at the time. That record becomes the basis for judging whether to change the order. In the consultation, it is faster to first say when you had which treatment and what and how much was used. That way, instead of asking whether you can do treatment B after treatment A, the answer comes out far more concrete.

How many days apart should they be?

It differs by treatment, and the interval for repeat treatments is something the treating physician tells you. Treatments with long recovery have longer intervals, and even the same treatment differs by intensity and depth. It is decided by looking together at how fast the visible reaction subsides, how sensitive the skin has become, and how many days remain until your upcoming event. It differs by treatment, and the interval for repeat treatments is something the treating physician tells you. Treatments with long recovery have longer intervals, and even the same treatment differs by intensity and depth. It is decided by looking together at how fast the visible reaction subsides, how sensitive the skin has become, and how many days remain until your upcoming event. Add how long the paired treatment's changes take to settle, and where these four overlap is your next treatment point. Sensitive skin subsides more slowly, so the interval stretches, and if your schedule is tight, it is better to change the order or split the sessions rather than cramming them together.

Should I choose 6 minutes or 12 minutes?

At ATTITUDE Clinic, LDM is offered in two options, 6 minutes and 12 minutes. The choice depends on whether you focus on one concern or spread across several goals, so it is decided in consultation. Even with the same time, the plan differs by which goal it is used for, and if you have a paired treatment, the skin condition after that treatment becomes the standard for setting the time.

What should I look for when choosing a clinic?

First, see whether they review your previous treatment records. Device and volume, date and the reaction at the time are needed to judge order and spacing. Next, see whether they explain why they recommend that order and spacing by comparing it with other options, and whether they explain the recovery period and risks. The AAD also notes that treatment results depend heavily on the skill of the person performing it, and recommends asking about risks and recovery time in consultation (AAD: Questions to ask before a cosmetic procedure).

At a glance

Table 2 At a glance
Item Key point
What sets the order What the paired treatment left in the skin (heat, needles, exfoliation)
What sets the spacing How fast the reaction subsides, how sensitive the skin is, how long it takes to settle, your upcoming schedule
Same-day possibility Decided in consultation based on the day's skin reaction
Time options Per ATTITUDE Clinic, LDM is 6 minutes and 12 minutes
Common reactions Redness, swelling, tenderness, bruising. Usually subside within a few days
Signals to check Spreading redness, pain that does not subside, blisters