Is Juvederm or Radiesse Safe w/ Clotting Disorder?

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 between your injector and doctor who regulates  your Coumadin may be helpful.
 

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....

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 to have correction with an injectible agent is to try a very small amount of treatment with the understanding that they may get a significant bruise.  This way they do not commit to a lot of treatment with a lot of needle sticks right away.  Also, sometimes applying ice to the injected area or using epinephrine in the material that’s being injected can help to reduce bleeding.