Can I get lip injections if I have vitiligo on my lips? (photo)

Question

I am 20 years old and have had vitiligo for approximately 3 years. In the past 3 years, it had not spread beyond my lips. I have had alopecia areata, another autoimmune since I was 2 years old. I am wondering if lip injections would trigger/cause the vitiligo to spread? Would you recommend waiting longer to be more sure?

Trevor M. Born, MD · Answer

Dear Terrific7574Thank you for your questions and photo!  The injections can trigger more pigment changes . You have good lip contour - so if the risk of color change is a big concern do not have injections.With Warm RegardsTrevor M Born MD

Dusan Sajic, MD, PhD · Answer

Having vitiligo or any other autoimmune condition definitely  increases the risk of complications. 
Vitiligo in particular can occur at sites of any trauma. It’s called a Koebner phenomenon.
Injecting  Filler’s into lips (including juvederm, restylan and belotero) would definitely qualify as a type of trauma. There are ways to minimize trauma such as the use of non-blunt cannula technique. We use this extensively in our practice to minimize risk of any injury, but it doesnt guarantee it.  
As always it’s the technique and the person injecting is the most important aspect to ensure you get optimal results. I would suggest that you check the qualifications of the person and make sure you get a board-certified dermatologist or plastic surgeon if you consider any injections.

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