Is it safe for me to have Botox when I have a positive ANA factor and Reynaud’s disease?

Dr. Dean Kane Q & A Q. Is there any other types of fillers other than Botox you would recommend for people with a positive ANA factor? Or avoid fillers altogether? A. Thanks for this interesting question! Botox and similar injectable muscle relaxers such as Dysport and Xeomin are used to rebalance the muscles of facial expression. This is quite different  than fillers such the Restylane and Juvederm families of hyaluronic acid products which provide volume filling or projection and skin line reduction. Rheumatic or auto-immune include illnesses such as Lupus, Scleroderma,  Sjogren’s syndrome and others. Raynaud’s Syndrome affects the extremities and not the face. It is an vaso-spasm of arteries creating diminished flow typically to the fingers. Any active illness and soreness of the injecting site skin should be stable or in remission at the time of injectibles use. This includes acne, roseca, viruses, and dermatitis. As the needle pierces the skinny bugs including bacteria and yeast maybe introduced to the fat or muscle where the injectibles are inserted. If the skin is already inflamed, it may not have the resistance to fight off a intruder. The use of an antiseptic such as alcohol, betadine or hibiclens is recommended as well. Consult with your treating physician and have them communicate  with your Board Certified Injecting Plastic Surgeon to reduce your risks, side-effects and obtain your best results! I hope this helps! All the best.     This information is not meant as medical advice. It is provided solely for education. Our practice would be pleased to discuss your unique circumstances and needs as they relate to these topics.
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