Facelift: Q&A
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I Am 74 Years Old and on Bloodthinnners for AF is It Safe to Have a Facelift?
10 years ago I had a facelife which was very successful. I had gone off my blood thinners 5 days previous to the surgery. The plastic surgeon did a remarkable job but said he had a lot of problems with bleeding. I felt fine. I was going to get a filler, which I also had about 18 months ago but the plastic surgeon suggested I consider a second face lift. Is this advisable?
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14 Doctor Answers |
Asked by
obie38
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74 year old and risk of facelift surgery
There certainly is no problem performing a secondary facelift; however, I would obtain both medical and cardiac clearance and again determine when and if you can stop your blood thinner.
Jonathan Ross Berman, M.D. , F.A.C.S.
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Bloodthinners risk with facelift surgery
I would discuss this in detail with your cardiologist. You need to know what risks you would face from the blood thinners. In addition to fillers, other nonsurgical options could include C02 laser skin resurfacing or other laser procedures.
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I Am 74 Years Old and on Bloodthinnners for AF is It Safe to Have a Facelift
Since safety during surgery is the mainstay of our practice you should discuss the discontinuation of your blood thinner with your cardiologist and surgeon prior to undertaking the surgical procedure of face lift.
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Is It Safe to Have a Facelift if I am on Blood Thinning Medicines?
Dear obie38,
Safety is always the number one priority when it comes to elective cosmetic surgery.
You should discuss the potential benefits and risks of going off your blood thinning medicines with both your cardiologist and surgeon. Depending on your specific condition and history, you may or may not still be a potential candidate for a facelift.
Warmest wishes,
Larry Fan, MD
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Stopping blood thinners treating atrial fibrillation for the purpose of the facelift is not a good idea.
I certainly applaud anyone's effort to look and feel their best. However cosmetic surgery is always elective. I don't think that interruption of treatment for a significant medical problem justifies elective cosmetic surgery.
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Blood-thiners and face lift
You should ask your doctor about the potential risk of being off your blood-thinners before and after the face lift surgery
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Blood thinners and considering facelift surgery
The first and foremost thing to consider before any surgery is your safety. Coming off blood thinners before an elective cosmetic surgery is not advisable. The reason you are on the blood thinners is likely much more important then facelift surgery I would seek the opinion of your cardiologist and/or primary care physician before making any choices about coming off any blood thinners.
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Blood thinners and facelift
You can not have a facelift while taking blood thinners. These would need to be stopped before surgery but you would have to ask your medical doctor to authorize this.
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Blood thinners and secondary facelift.
The first thing to consider is your safety when off blood thinners. The physician who put you on the blood thinners would need to clear you for surgery and make recommendations about when to stop and restart your medication. You would need to accept a slightly higher risk of complications, surgical and otherwise, for the secondary facelift. Done meticulously with close follow up with all your doctors, a secondary facelift should be able to be done.
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Health and safety should always come first, especially for cosmetic surgery
"First do no harm" is attributed to the Hippocratic Oath. Although it isn't specifially stated in that oath, the principles always apply. Your health should come first. Any patients who are on blood thinners or have any other medical condtions should always be "cleared" for stopping medications and having surgery by their primary doctors or cardiologists. If there was excessive bleeding during a procedure in anyone, it might be prudent to get an evaluation for a clotting disorder, even if...
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Blood Thinners in Face Lift Surgery
If you are on blood thinners, you will need to consult with the physician that manages them to make sure it is safe for you to be off of them for the surgery. Usually the medical physician will discuss this with you and your surgeon to come up with a plan so you can be temporarily off the anticoagulants, but only if this is safe from a medical standpoint.
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Facelift with Atrial Fibrillation
Definitely consult with your cardiologist first. Most plastic surgeons would not operate on you without your cardiologist's cooperation. Ultimately you would have to weigh the considerable risk versus benefit. There are many excellent filler options on the market, such as Sculptra, which can be combined with fractional laser resurfacing, and may not require going off blood thinner.
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74 Facelift and Atrial Fibrillation on Bloodthinners
With atrial fibrillation, coming off of blood thinners for a short perior of time is reasonable prior to a surgery. However, I would be worried about the risk of emboli either during or following the surgery. Obviously, the risk of hematoma is higher with surgery. I would not be inclined to operate, but that does not mean that the surgery should not or could not be done.
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There are risks involved
The most important aspect of undergoing elective cosmetic surgery is safety. There will be risks of going off of your blood thinners to undergo surgery. Your cardiologist will be the best person to explain the amount of risk you will be undertaking to undergo the surgery. I would talk with the cardiologist, get all the available information, and then make your own informed decision.
Charlotte Facial Plastic Surgeon
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