Morpheus 8 with possible scleroderma?

Question

I am scheduled for Morpheus 8 treatments, but my rheumatology labs are showing high titers for scleroderma. I have no symptoms besides Raynaud's. Please advise.

Sanusi Umar, MD · Answer

I wouldn't suggest going through with the Morpheus 8 treatments due to potential risks. The small Morpheus applicator penetrates only up to 4cm, and the large applicator penetrates up to 7cm. Although it's not deep enough to affect most organs past fat and muscles, I'd still practice caution. Morpheus uses a technique that involves penetrating into the skin's layers, which can potentially cause damage and interfere with blood flow. This may be particularly concerning for someone with Raynaud's disease, as it can exacerbate symptoms and further restrict blood flow to your hands and feet.

Lisa M. Jukes, MD · Answer

People with scleroderma often experience poor wound healing, especially in areas of thickened or fibrotic skin. RF microneedling creates controlled injuries to the skin, which may not heal as effectively in scleroderma patients.

The skin in individuals with scleroderma is often more fragile or sensitive, making it prone to irritation or prolonged recovery after treatments.

Settings ultimately would have to be pretty low, which in case, defeats the purpose. I would recommend patch testing OR patch testing with traditional microneedling before introducing a full treatment with radiofrequency.

Jennifer R. Berman, MS, MD · Answer

Morpheus 8, a radiofrequency microneedling treatment, stimulates collagen production and tightens skin. While it’s generally safe for most people, it’s important to consider your potential diagnosis of scleroderma, an autoimmune condition that affects connective tissues, potentially leading to skin tightening, thickening, or fibrosis.

Points to Consider:
Raynaud's Phenomenon: As a symptom associated with scleroderma, it indicates heightened sensitivity in your microvasculature, which might increase the risk of adverse reactions like prolonged healing or poor circulation at the treatment site.

Collagen Production: Scleroderma is characterized by overproduction of collagen in the skin and other tissues. Treatments like Morpheus 8, which stimulate collagen, could theoretically exacerbate localized skin changes in someone predisposed to this condition.

Healing and Inflammation: People with scleroderma can experience slower wound healing and increased sensitivity to skin trauma. The micro-injuries created during microneedling might pose risks.

Recommendations:
Consult Your Rheumatologist: Before proceeding, discuss the planned treatment with your rheumatologist. They can offer insight into whether your condition or lab findings could increase risks.

Communicate with Your Provider: Ensure the aesthetic provider administering the Morpheus 8 treatment is aware of your medical history. They might adjust the treatment depth, settings, or frequency to minimize potential complications.

Monitor Closely: If you proceed, watch for delayed healing, increased redness, or other unusual skin changes after the treatment.

While the absence of significant symptoms may be reassuring, your elevated antibody levels and Raynaud's suggest caution. A thorough discussion with your healthcare team is key to making the safest decision.

Laura A. Katz, MD · Answer

I would say that you need to postpone your treatments until it is certain what is going on with your body.  Then everything can be discussed with your aesthetic expert.

Morpheus 8 with possible scleroderma?

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