Expensive Dr. Irwin, Firstly thanks very a lot in your time and priceless recommendation, I’m certain many sufferers should recognize it. I’m a 52 yr previous feminine and have terribly sagging jowls and hooded eyelids! I’m on warfarin for a prosthetic coronary heart valve and am a bit extra excessive danger for an infection to the valve. Would you thoughts advising, does clearlift laser remedy have any dangers of put up an infection, and would therapeutic be slower or bruising happen on account of warfarin, (although my INR vary is 2 so fairly low)? I’m notably involved over any danger of an infection. Thanks very a lot in your time and consideration, however principally kindness for all of your assist and recommendation you present to many sufferers. Very Greatest Needs, Kate.
You actually made my day Kate. You’re so welcome, and at some stage, don’t all of us stay to be of service to one another? Generally whether or not we all know it or not. Perhaps we might get Putin and people stuffed with hate to determine that out.
Everyone knows that with dentistry typically antibiotics are prescribed for these with prosthetic valves, hip replacements and the like. The mouth although, is completely different from pores and skin. Dentistry is way greater danger as a result of quantity and kinds of micro organism. And likewise the truth that the mucosa is skinny and bleeds simply.
The Clearlift is a Q-switched Nd:YAG laser which doesn’t break the pores and skin. It requires a number of remedies and persistence. My vote could be to make use of Thermage, Exilis or Ultherapy as an alternative, in case you are wanting one thing light and noninvasive. None of those modalities may have a superb impact on jowls and hooding. Now we have seen good outcomes although with the Thermage eyelid tip finished 2-3 instances over 6 months with some filler assist within the forehead space after for hooding. Particularly for those who don’t wish to danger a put up laser an infection.
Concerns to consider – the an infection dangers:
- The chance of an infection from pores and skin needles and scalpels is extraordinarily low, IF a correct pores and skin prep is completed normally with Hibiclens. Our clinic would normally prep 2-3 instances over the realm, and if any extra oil, use alcohol as properly.
- In case you are immunosuppressed, you’ll want to focus on any procedures together with your physician. It doesn’t sound like you’re although.
- For lasers, it’s extra the an infection danger put up process. Think about having a nasal swab (only a q-tip) tradition finished to see in case you are a service of Staph aureus 3 weeks earlier than utilizing lasers that break the pores and skin barrier layer.
- Lasers that break the pores and skin barrier layer embody CO2, Fraxel, erbiums, and some others. IPL/BBL shouldn’t be on this class.
- Make certain your dermatologist for the laser is aware of about your valve and anticoagulation. This sounds apparent, however it’s stunning how many individuals neglect to convey this up except requested.
- Some dermatologists could wish to use antibiotic put up laser to scale back the dangers.
Concerns to consider – the warfarin and anticoagulants:
- If there are not any scalpels or needles, the danger of something greater than minor bruising is low. Lasers are typically positive.
- Typically a pleasant facelift-like impact may be achieved with simply fillers (when finished properly). This strategy will bruise on anticoagulants, however may be restricted by the appliance of a very good topical anesthetic ointment for 45-60 min. It’s because the small quantity of epinephrine in lots of of those ointments constricts the blood vessels within the pores and skin.
- It might be value it to place up with some bruising for every week or two with a very good cowl up (see the Colorscience Powder within the store). Particularly if the filler is a long-lasting one. These will normally final 9-12 months earlier than a contact up is required.
Hope this helps!
Dr. Brandith Irwin, MD
Founding father of SkinTour & MadisonMD Skincare
Comply with my pores and skin ideas and travels on Instagram!
