Feb
You may have Juvederm injected to improve facial lines and folds while you are taking Coumadin. Your risk of bruising, however, will be much greater. Be sure to plan for bruising. Using Prevedem (from Neocutis) for 2 weeks before the injections and post-injection, Bruise Relief Gel or Cytoactive may reduce the duration and severity of any bruise. It is not worth stopping the Coumadin and risking more serious medical problems. A bruise will go away. A stroke, pulmonary embolism or a heart attack are far more serious.
Juvederm (which comes in sterile syringes, not vials) should be used conservatively in the under eye area. Swelling for several days is a common side effect. Bruising is also possible. I suggest the injecting dermatologist begin with no more than one half of a syringe to each side the first time. It is far easier to add than to subtract when it comes to fillers.
It has been my experience that Restylane does cause more swelling in the lips than Juvederm, but there are those that disagree. Interestingly, I find that Juvederm swells under the eyes more than Restylane, so go figure! It is these kinds of subtle differences that make injecting fillers both art and science. There are individual variances in results from person to person and within the same person with different fillers. While Juvederm is the market leader, Restylane has been around longer and is still a good product, preferred by some doctors and patients. I am glad you found the right match (product AND doctor) for you.
Our mission at the Lupo Center is to provide patients with innovative, effective, and ethical care to make each person look and feel their personal best. To fulfill our goal, we provide state-of-the-art medical, surgical, and cosmetic treatments to all patients.
Board-certified dermatologist and clinical professor of dermatology Mary P. Lupo, MD, has been a leader in the field of non-surgical rejuvenation since 1983. She travels internationally to teach her innovative techniques, and her reputation brings in patients from around the country. She started the first formal residency training program for injectables and peels in 1983 at Tulane Medical School and served as past president of the Women’s Dermatologic Society, adjunct professor of dermatology at Tulane, and a founder of Cosmetic Boot Camp. Dr. Lupo holds membership in many prestigious dermatology associations, participates in clinical trials for the approval of new drugs and devices, and acts as an advisor for numerous aesthetic-minded companies.
Dr. Lupo was recently recognized as a trailblazer for women in dermatology and for her dedication to educating dermatology residents and fellows.
She has also received the following awards:
Dr. Lupo has authored over 90 published articles and book chapters and has spoken on various dermatological topics at nearly 480 national and international meetings and seminars.
