Is it safe for me to get HA filler in my lips with a history of anaphylaxis and multiple allergies?

Question

In looking into HA fillers I’ve found sources that warn against getting them with a history of anaphylaxis.I have a severe allergy to peanuts and allergies to tree nuts, animals, and pollen.It’s not uncommon for me to develop a patch of hives throughout the year without explanation.I’m always freaking out that I‘ll be allergic to new things or have unusual reactions (a bit of a hypochondriac), so I’m wondering if there’s a safe option for me.I’ve used face products with HA before without issue

Andres G. Sarraga, MD, FACS · Answer

Hyaluronic acid fillers approved by the FDA in the United States to use (Juvederm, Restylane, Bellotero, Versa) do not contain those allergens that you mention.However, if you still have a concern, you should do a skin test in the office prior to injecting your face, just in case.

Saba Motakef, MD · Answer

Allergic reactions to hyaluronic acid fillers like Juvederm and Restylane are rare, but can still happen. According to the manufacturer for Juvederm, allergic reactions can occur immediately or up to two months after you’ve received a treatment with Juvederm. Treatments include antihistamines, steroids, and hyaluronidase injections to dissolve the filler.
If you have a history of severe allergies (e.g. anaphylaxis) or multiple severe allergies, you could be at increased risk of an allergic reaction to a product like Juvederm. Allergies to Juvederm, when they do happen, are generally reactions to either the local anesthetic in Juvederm or some of the proteins found in this product. 
Make sure you review your options carefully with a qualified provider to determine if you are a candidate for hyaluronic acid injections. One useful strategy would be to purchase a syringe of hyaluronic acid filler and first receive a small “test dose” of the filler in a well-hidden area. If you tolerate this well, you can then proceed with hyaluronic acid injections to other areas such as your lips.

Pamela Stuart, MD · Answer

The Hyaluronic acid fillers typically would not cause any issue for patients such as yourself. However given that you acknowledged being “a bit of a hypochondriac”, i often find that my more anxious patients “feel” they are having new symptoms even when there are no objective findings that they are. You would need to balance the risk/benefit of the anxiety you may have with using fillers. But as Hyaluronic acid is produced naturally in our bodies, there should be no medical reason to avoid them. I would recommend that you speak with your primary doctor as well as your injector to help alleviate any remaining concerns .Best wishes,Pamela Stuart, MD

Leonard Grossman, MD · Answer

Hyaluronic acid is something that your body produces all the time. Any of the fillers such as Juvederm or Restylane can be used without any testing. I hope this helps and good luck for New York City plastic surgery

Is it safe for me to get HA filler in my lips with a history of anaphylaxis and multiple allergies?

Answers (4)

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