There is no problem using steroid creams on the face with regards to Botox or filler but be sure you are not using a very strong fluoronated cortisone cream as it may cause atrophy
Thank you for your question shazzadev. I understand your concern. Botox is a purified proteinused to address wrinkles associated with facial expression. When injected intothe skin Botox will relax the muscles and smoothen out the overlying wrinkles. Themost common areas of treatment are in the upper face. These include thehorizontal lines seen on the upper forehead when one raises the brows, thevertical lines seen between the brows when one frowns (frown lines), and thecrow's feet seen around the eyes when one smiles.It is difficult to make an assessment without aformal exam in the office where I can view the skin in multiple angles and observewrinkles formed with facial expression. However, I hope the informationprovided here is useful.The safety record of Botox is well established.The product has been used for over 20 years for a variety of treatments withminimal side effects. Botox is amongst the safest treatments for treatingfacial wrinkles.While Botox is one of the safest treatmentsoffered, there are some situations where it is not appropriate. These includeanyone who has an allergy to any of the inactive ingredients or who has had anallergic reaction to any botulinum product including Botox, Dysport, Xeomin, orMyobloc. The safety and efficacy of Botox has not been established in women whoare pregnant, trying to become pregnant, or breast feeding. Therefore, women inthese categories are advised to wait until breast feeding is completed prior tohaving a Botox treatment. Botox should not be placed in the skin on the site ofan infection. Those who are taking anaminoglycoside antibiotic, an anesthetic, D-penicillamine, antimalarials, orimmunosuppressants should not be treated, nor should those who have undergonechemotherapy within the previous six months. It is important to avoid bloodthinners before and after a treatment. These include both prescription andnon-prescription medications such as warfarin (coumadin), aspirin, ibuprofen,alcohol, fish oil, vitamin E, and ginko biloba. Those with conditions that affectmuscles and nerves such as amyotrophic lateral sclerosis (ALS or LouGehrig's disease), myasthenia gravis, or Lambert-Eaton syndrome should notundergo Botox treatments.The safetyand efficacy of Botox treatments have not been determined in women who arepregnant, trying to become pregnant, or breast feeding. There is also noevidence that Botox crosses the placental barrier, but such studies have notbeen published. While some physicians are comfortable treating women who arepregnant, trying to become pregnant, or breast feeding, in the absence of dataI err on the side of caution and recommend that my patients avoid Botox andother such cosmetic treatments until they are no longer breast feeding.Application of topical steroid creams on the skin is not a contraindication to Botox treatment. However if there is an infection in the area I advise my patients to wait until the infection has resolved prior to any injection in the area.Please consult with a doctor for specificrecommendations. Good luck!