I’m 47, have MS & on an oral immunosuppressant treatment (Gilenya). Are these contraindications to Botox and fillers? (photo)

Dr. Dean Kane Q & A shutterstock_57824869 Q. I’m 47, have MS & an oral immunosuppressant treatment (Gilenya). Are these contraindications to Botox and fillers? I’m interested in fillers to treat my frown lines and possibly Botox to treat my assymetrical brows/ptosis. Does having MS and/or being on an immunosuppressant present any concerns with undergoing such procedures? A. I am sorry for your misfortune. Multiple Sclerosis is a progressive, auto-immune demyelinating illness. The use of a muscle relaxer may exacerbate or mask areas of muscle weakness or changes in sensation where injected such as your forehead muscles. Fillers have local anesthetic within them or their injection is preceded with a local anesthetic. This can disrupt or prolong the duration of the anesthetic. There is a rare chance of infection with the injection of fillers. Certainly, proper additional anti-septic techniques should be used in higher risk individuals. Many patients who have cold sores around the mouth are more susceptible to injections of Botox and fillers around the mouth for viral outbreak particularly if taking a immunosuppressant. You may require a round of anti-viral medication if this is a concern. These are some of the initial concerns to review with your neurologist and your Board Certified Injector Specialist. I hope this is helpful to you. I wish you all the best!
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