If a person takes a beta blocker for a heart arrhythmia (bisoprolol) can they have Juvederm Ultra 4?

Very good question and I am happy to hear you are taking proper precautions since you are currently on a medication. The good news is the anesthetic found in dermal fillers is a minimal amount that is also localized to a small treatment area. This reduces risks associated with the treatment and should not be a contraindication with your beta blockers. However, make sure you work with a board-certified dermatologist who is well-versed in your medical history to ensure your Botox procedure is both safe and successful.

Thank you for your question.  It is always wise to ask questions pertaining to your health.  Thankfully you can get Juvederm while on beta blockers.  Always schedule an appointment with an experienced doctor and provide your medical history.  All the best!

Good for you for looking into these details! It should be fine to have filler treatment while on beta blockers as the anesthetic used is localized and in a small amount.  It is always best to discuss your medical history and medications you take with your injector.

Good question. Always better to ask questions and be safe than sorry.
Good news, you should have no problems. The anesthetic is so localized and in such small quantity that it will not interfere.
That being said, be sure your provider is aware of your medical conditions and all medications you're taking. Your provider will keep you well within a safe zone. 
Be sure a "physician" is on your case. My greater concern would be more in regard to the anticoagulants you're likely on. Depending on the anticoagulant medication, I would like you to be off them for a couple to few days prior to injecting the filler due to bleeding and bruising concerns. 
I also may want to get the blessing of your cardiologist to take you off them for a short period. It's generally not a big deal, but 1) always better to be on the safe side, 2) better assures a good outcome absent unnecessary bruising, and 3) why risk anything when there's not a need or compelling reason.
Wishing you a wonderful outcome!
Warmly,
Arbella Sarkis, MD

Thankyou for your question.You do not need to worry about an interaction between the beta blocker and filler . The local anesthetic in the filler is just that locally spread. Enjoy!