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
April 7, 2011
Answer: 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 bleeding necessitating hemostasis. Any injury such as the use of needles can induce problematic, but probably not dangerous, bleeding. There is nothing inherent in Juvederm or Radiesse that would cause complications in a Coumadin patient; rather, it is the production of trauma with the needle that bares potential complications. It is also advisable to discuss this with your hematologist.
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April 7, 2011
Answer: 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 bleeding necessitating hemostasis. Any injury such as the use of needles can induce problematic, but probably not dangerous, bleeding. There is nothing inherent in Juvederm or Radiesse that would cause complications in a Coumadin patient; rather, it is the production of trauma with the needle that bares potential complications. It is also advisable to discuss this with your hematologist.
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April 1, 2011
Answer: 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 bruising despite these measures. The best time would be when you do not have any special events in the immediate future after your injection, though there is no danger in using makeup after.
Best of luck
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April 1, 2011
Answer: 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 bruising despite these measures. The best time would be when you do not have any special events in the immediate future after your injection, though there is no danger in using makeup after.
Best of luck
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