Botox and Fillers for Primary Lymphedema Patients?

Question

Can someone with primary lymphedema (legs) use Botox and fillers?

Otto Joseph Placik, MD · Answer

If you are using this on your face, I do not see any contraindications to use as there effects are primarily local. Our primary concerns are either neuromusclular conditions with botulinum toxin (Dysport, etc.) or auto-immune/collagen vascular diseases with fillers. Discuss your concerns with an experienced physician injector.

Ron Shelton, MD · Answer

Lymphedema of the upper extremity, such as after lymph gland removal in the underarm, or lower legs from circulation problems or lymph gland removal, and other causes, should not be a contraindication to having Botox and fillers injected in the face.

Robert Kasten, MD · Answer

I have treated patients who had lymphedema with Fillers and Botox. There were no problems. Botox and fillers act just where they were injected and should not interact with lymph flow. 
I hope this helps.

Peter A. Aldea, MD · Answer

Primary Lymphedema is a disorder affecting lymphatic channels in the extremities. There is no relation that I am aware of between this disorder and the use of either Botox or Fillers. The most common contraindications to the use of Botox involve a group of neuromuscular disorders, pregnancy, infection at the treatment site and allergies. Moreover, since the use of Botox and fillers is largely confined to the face and not used in the extremities, there should be no contraindications to their use.
Dr. P. Aldea

Botox and Fillers for Primary Lymphedema Patients?

Answers (4)

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