myPBCteam

What a great question — and honestly, your labs and Fibroscan results sound quite stable, which is encouraging! The disagreement between your two doctors is understandably frustrating.

The good news is that hyaluronic acid is actually listed as a beneficial ingredient in skin care products for people with PBC-related dry Show Full Answer

What a great question — and honestly, your labs and Fibroscan results sound quite stable, which is encouraging! The disagreement between your two doctors is understandably frustrating.

The good news is that hyaluronic acid is actually listed as a beneficial ingredient in skin care products for people with PBC-related dry skin. So topical hyaluronic acid appears to be well-tolerated.

For injectable treatments like Botox, hydroxyapatite, and polypeptides, there isn't specific PBC-focused guidance available. However, since your hepatologist — the specialist most familiar with how PBC affects your body — sees no problem, that's a meaningful opinion. Here are some practical steps to consider:

- Ask your hepatologist to provide written clearance for your aesthetic doctor, specifically addressing your current liver function and disease stability
- Request a consultation where both doctors can communicate directly about your individual case
- Ask your aesthetic doctor to specify exactly which procedure concerns them most, so your hepatologist can address that particular risk
- Seek a second aesthetic medicine opinion from a practitioner experienced with autoimmune patients

Your stable Fibroscan and well-controlled labs are genuinely positive factors in this conversation. Always make sure any new procedure is discussed with your hepatologist first.

 AI-generated responses are not a substitute for medical advice. These services are not intended to diagnose, treat, or cure any condition or disease. Always ask your doctor about specific health concerns.

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