Best filler when you have an autoimmune disease and take immune suppression medicine?

In general those fillers that are only composed of hyaluronic acid are considered safer as they can be completely dissolved in case of any issues.

there is no risk with any fillers to autoimmune dissease even bellafill which is collagen based has no risk for collagen vascular disease. it is best to use a reversible filler like hyaluronic acid based fillers in this scenario in my opinion. I have been injecting lupus and RA patients for years without issue.  Best, Dr. Emer.

You are correct that nodules can develop even months later after any filler. The more cross-linked HA fillers seem to have a higher incidence but at least they can be dissolved.  The precise cause is not completely understood and more studies are necessary to  help understand this phenomena. In the meantime, recommendations are for meticulous  aseptic technique, avoiding fillers in people with recent dental work (including routine cleaning) and exercising caution in people with autoimmune dz. Some doctors are now avoiding filler treatment in all cases of known autoimmune  dz.  Scuptra works by stimulating inflammatory response to produce collagen which autoimmune medication will suppress. Fillers do not provide the same treatment as a facelift since they only provide volume restoration but they can help augment areas before and after a facelift. If a facelift is indicated, that may be the better option since it repositions and firms tissues and removes excess skin. It can be performed with or without fat grafting to add more volume. Even with surgery, your medications may need to be temporarily held to allow adequate wound healing.  Hope this helps.

My Best to you,
Dr. Stephen Fink