Juvederm and Rheumatoid Arthritis

My patients with rheumatoid arthritis have not ever had their rheumatologists say they couldn't have Restylane or Juvederm injected. In the olden days ( about ten years ago) collagen from cow hide was injected as fillers and there was controversy that these fillers could cause collagen-vascular disorders. Todays fillers, Restylane and Juvederm, are hyaluronic acids. They are not the same as collagen.

I have injected patients who have rheumatoid arthritis and are on methotrexate with the hyaluronic acid fillers without any problems. I recommend abstaining from the NSAIDs and Aspirin to prevent bruising, but no other special precautions need to be taken.

Dear Meshel

You should be fine with the Juevederm injections.  However, it is important to understand that everyone reacts differently to this products.  Further, some individuals are taking medications for Rheumatoid arthritis that effectively suppress the immune system.  This may increase your risk for infection.  You actual treating physician will make decisions and recommendations based on intimate knowledge of your health status and treatment.  Consequently they may or may not recommend a particular treatment based on the facts of your particular situation.