Is Juverderm and Botox Safe for Patients with Lupus

I have communicated with my patient's rheumatologists and dermatologists who have Lupus and have never been told not to inject Botox, or Juvederm or Restylane on these patients. Certainly, if one is having a lupus flare, I wouldn't suggest doing any elective treatment at that time.

I would feel more than comfortable injecting patients with these underlying condition & others. Refer back to the only true contraindications to injections & go from there.

Juvederm has not been studied in patients with Lupus.  If the Lupus is active, the immune system is over-reactive and I would definitely not use BOTOX with these patients.  If the Lupus is in-active, it could be fine to use it.  I think doing a little trial with a tiny bit of BOTOX to see if the body reacts would be a safe way to go.  This way you know before injecting a lot of it at once. 

Although the use of Botox and fillers such as juvederm and restylane have not been widely studied in lupus or any other medical condition for that matter, most experienced dermatologists would not hesitate to use it, nor have any of us observed any specific problems. That said, the lupus should be stable (well-controlled) ideally, & make sure you have an experienced injector taking care of you.

Personally I believe that both products are unlikely to cause a problem if used in a patient with lupus.