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Is Juvederm or Radiesse Safe w/ Clotting Disorder?

asked 1 year ago by LizzieinNYC in NY, NY
Latest answer by Ronald Shelton, MD
Question viewed 611 times
Tags: age 35-44, nasolabial folds, blood clot, safety

Hello, I'm a 35 y.o. with a clotting disorder, I take Coumadin daily and was wondering if it is safe to have Juvederm done to my NLF and Radiesse to my cheek area. I want the opinion of Physicins that do this on a daily basis. I get mixed advice from my primary care physician.Your time and thoughts are greatly appreciated. Regards, Liz

15 answers to Is Juvederm or Radiesse Safe w/ Clotting Disorder?

Anti-coagulant therapy and fillers?

No, I would not consider using any Filler on a patient who is on anti-coagulant therapy. If you can safely discontinue the therapy for a week or so, it may be safer however, why take the risk of developing a hematoma.

Francis R. Palmer, III, MD
Beverly Hills Facial Plastic Surgeon

drfrancispalmer.com

Blood thinners and Juvederm

It is important that your physician is aware of your clotting disorder and your medication profile prior to treatment. Although it is not an absolute contraindication to have fillers done while on coumadin or other blood thinners such as Plavix, your physician should use the safest measures to prevent as much bruising as possible. Just be prepared to bruise and do not undergo any of these procedures if you have an important event (wedding, work event) within the following 2 weeks... more

Christopher Zoumalan, MD
Beverly Hills Oculoplastic Surgeon

Is it safe to inject dermal fillers for patients on blood thinners

If you are taking a blood thinner, certainly the risk of bruising is significantly higher. There may be some oozing after injections as well. But this is not a contraindication for injections. Icing the area prior to and after injections does help. We perform skin surgery of all sorts on patients who take blood thinners. Discontinuing a blood thinner like coumadin carries a much greater risk of an adverse event than the amount of bleeding from a skin surgical... more

Emily Altman, MD
Short Hills Dermatologic Surgeon

Juvederm and Radiesse Dermal Fillers Safe in Patient taking Blood Thinner

Dermal fillers like Radiesse and Juvederm are safe to use in patients taking blood thinners such as coumadin. I typically will ice before and after injection as well as use lots of pressure to minimize the risk of oozing and bruising. I also advise my patients on blood thinners to ice the treatment area(s) at home to reduce their risk of bruising, while letting them know that they may still bruise despite these measures. It is very important to time Radiesse, Juverderm or other dermal filler... more

Anifat Balogun, MD
Seattle Facial Plastic Surgeon

Juvederm and Radiessein Patient on Coumadin

Make sure the physician that is doing the injections is aware of your bleeding study results. Filler placement will not be a significant problem as long as you are willing to accept the risk of some bruising for several days after injecion.

Richard W. Fleming, MD
Beverly Hills Facial Plastic Surgeon

Juvederm and Radiesse Injections with a Clotting Disorder

I inject patients on a daily basis with facial fillers and they are often taking medications or dietary supplements that increase bleeding time. There are injection techniques that can be used to minimize bruising but it may still be inevitable, in if you are in the most experienced hands. For example, I usually mix Radiesse with lidocaine containing epinephrine just prior to injection to constrict blood vessels which will help to minimize bruising. Application of ice with local pressure... more

Mitchell Schwartz, MD
South Burlington Dermatologic Surgeon

dorsetstreetdermatology.com

Facial fillers and blood thinners

Although a complete history and exam is always needed prior to any procedures, it's usually permissible to have facial fillers even if you're on blood thinners. These medicines will most likely lead to increased bruising, but provided you go to a skilled injector, there shouldn't be any safety concerns. Good luck!

Elan B. Singer, MD
Manhattan Plastic Surgeon

Juvederm

Patients on coumadine will bruise easily after the most minor procedure including needle sticks. In my practice I do inject, but use lots of pressure and ice, still some will bruise.

Samir Shureih, MD
Baltimore Plastic Surgeon

Fillers can be done safely if cautiously on patients who take Coumadin

Expect more downtime with bruising, but if your INR is 2.5 or less, the injections of Radiesse, Restylane and Juvederm are possible. The former may require a slightly larger diameter needles so the risk of bleeding and a hematoma may be greater, but it is not a large risk. I would not stop coumadin as the risk of complications would probably be greater as a result of the coumadin cessation compared with complications of injections. Each case though is unique and consultation... more

Ronald Shelton, MD
Manhattan Dermatologist

It is recommended that patients stop taking blood thinners before injecatble treatments

It is always recommended with an injection of any kind that a patient stop taking coumadin or other blood thinners whenever possible. However, we must weigh in the risk of stopping the blood thinner versus doing the procedure. Certainly the risk of bleeding, as far as damaging the structures, is much less in the naso-labial fold than around the eye. But many doctors feel running the risk of anticoagulation is not worth it. What we often tell patients who are very motivated... more

Joseph A. Eviatar, MD
Bronx Oculoplastic Surgeon

Dermal Fillers and coumadin

Any injectable procedure may be complicated by a clotting disorder. It would be necessary to know the type of clotting disorder in question. Addressing Coumadin specifically, patient’s underlying problem will determine the amount of anticoagulant effect necessary. The patient’s physician determines the optimal Coumadin dose based on the underlying need for anti coagulation. With increasing risk of bruising, hematoma formation and the increased risk of dermal or subcutaneous... more

Peter L. Kopelson, MD
Beverly Hills Dermatologic Surgeon

Juviderm and other fillers can be used in patients on blood thinners

Lizzie You can proceed with injections of fillers while on Coumadin if you and your provider take some careful steps to minimize the risks of complications: have your INR checked prior to the procedure be sure to discuss your condition with a physician, I would not recommend treatment at a spa or mall type facility- you need the expertise of professional I also recommend ice before and after, and avoid any activity for 3-4 days after Be ready to accept... more

Travis L. Shaw, MD
Richmond Facial Plastic Surgeon

Coumadin and injections

It's not the radiesse or the Juvederm that is the problem here...it's the needle! Patients on coumadin will get a lot of bruising with any injection. I would not recommend injection treatments while you are taking this medication....

Thomas Fiala, MD
Altamonte Springs Plastic Surgeon

Fillers with clotting disorder

People on Coumadin generally are at higher risk of bruising/bleeding even with minor procedures such as the injection of fillers. If you elect to have a filler procedure, it is suggested that your INR level be checked, to ensure that it is not too high (between 2.0 and 3.0 and preferably closer to 2.0), to minimize the bleeding risk.

Bryan K. Chen, MD
San Diego Dermatologist

Juvederm and bllod thinners

I have treated patients that are on Plavix and bllod thinners. They have to be aware that they will definitely bruise more than patients not taking these medications.