Having Restylane or Botox Despite Multiple Sclerosis?

You need to follow the advice of the physician who would be responsible for treating you; in this case, the Dermatologist.
The causes of an exacerbation or precipitation of Multiple Sclerosis are many and not well understood. I have seen one infection following filler (Restylane) injection out of many thousands and it was in a patient who was on immunosupressive therapy for MS.
Botox is a neuractive agent which has its effect on the neuromuscular junction. While MS involves the Myelin or white matter in the Brain and Spinal Cord, the neuromuscular Junction may not be involved. However, since we do not know the potential for Botox to precipitate an MS exacerbation, I would avoid its use in a patient with MS. Although there may be no effect, the consequences of an effect could be so significant I would avoid it altogether.

If your neurologist gives you the green light, then it is okay to proceed with Botox and with the Restylane. It is a contraindication to use Botox in neuromuscular diseases, but the reasoning is not completely correct. The fear is that you are going to potentiate any neuromuscular problem by adding Botox. However, if your neurologist says okay, then there should be no problem. Good luck and enjoy the Botox and Restylane.

Dear Young,
Your dermatologist is correct that the use of Botox is contraindicated in any neuromuscular disorder. Your neurologist is correct that Restylane can be used in patients with MS. So, you may proceed at least with that part of your quest for rejuvenation. Good luck!