Contraindications

This overview lists medical contraindications for aesthetic treatments to ensure patient safety and provide legal protection for practitioners.

1. BOTULINUM TOXIN (Botox®) – Contraindications:

• Pregnancy or Breastfeeding
• Myasthenia gravis, Lambert-Eaton syndrome, or other neuromuscular disorders
• Infections or skin conditions in the treatment area
• Use of antibiotics containing aminoglycosides or muscle relaxants
• Allergy or hypersensitivity to botulinum toxin type A or any of the product's ingredients
• Blood clotting disorders or use of anticoagulants (e.g., Marcumar, NOACs)
• Acute inflammation or febrile infections
• Psychiatric disorders characterized by unrealistic expectations (e.g., body dysmorphic disorder)
• Severe autoimmune diseases (relative contraindication—individual assessment required)

2. HYALURONIC ACID FILLERS – Contraindications:

• Pregnancy or Breastfeeding
• Acute or chronic infections in the treatment area (e.g., cold sores, acne)
• Known allergy to hyaluronic acid or any ingredients in the product (e.g., lidocaine)
• Active autoimmune diseases (relative contraindication)
• Taking blood thinners (aspirin, Marcumar, heparin, etc.) – increased risk of hematoma
• Previous treatment with permanent fillers or silicone in the treatment area
• Inflammatory skin conditions or dermatoses (e.g., rosacea, eczema)
• Immunosuppression, Chemotherapy
• History of severe allergic reactions or anaphylaxis

3. SKIN BOOSTERS AND BIOSTIMULATORS – Contraindications:

• Pregnancy or Breastfeeding
• Acute skin infections, acne, and herpes simplex in the treatment area
• Known hypersensitivity to any of the ingredients (e.g., lidocaine, carrier gel)
• Active or unstable autoimmune diseases (relative contraindication)
• Use of anticoagulants or known coagulation disorders
• A history of keloid formation or impaired wound healing
• Immunotherapy, Cancer Treatment, Radiation
• Impaired kidney or liver function with certain medications
• Unrealistic expectations, severe psychiatric disorders

4. MEDICAL PEELS (e.g., retinol, fruit acid, or TCA peels) – Contraindications:

• Pregnancy or Breastfeeding
• Acute skin conditions in the treatment area (e.g., eczema, psoriasis, rosacea)
• Herpes simplex (especially in cases of lip or perioral peeling) – consider prophylaxis if necessary
• Open wounds, sunburn, skin injuries
• Retinoid therapy in the past 6 months (e.g., isotretinoin)
• Known hypersensitivity to ingredients (e.g., AHA, BHA, TCA)
• Very dark skin types (Fitzpatrick V–VI) – Be aware of the risk of hyperpigmentation
• Radiation therapy or laser treatment in the treatment area within the last few weeks
• Immunosuppression, severe systemic diseases

Please note: This list is not intended to be exhaustive. A personalized medical history and consultation are essential before any treatment.