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Should I Stop Taking NSAIDs Before Restylane Injections?

I am a 56 yr old woman and will be getting Restylane injected for the hollow look under my eyes. I had fat injections and Restylane in my cheeks over a year ago and now have a hollowed look under my eyes that makes me look tired.

To prepare for this procedure and to minimize bruising is it best to stop taking aspirin and all NSAIDs(Non-Steroidal Anti-Inflammatory Drug). I am hoping to go to work the next day do most patients have black eyes and swelling? If this occurs how long does it last? Thank You!

Asked 27 months ago by Starfire in Indiana

Tags:

age 55-64 cheeks under eyes female black eye fat hollow medication swelling

NSAIDs and fillers

I recommend that patients refrain from non steroidal anti-inflammatories for two weeks before having fillers in order to reduce swelling and bruising. You may bruise in the area under the eyes but this can be covered by makeup. I would not categorize the expected bruising as raising to the level of black eyes.

Robert L. Kraft, MD

New York Plastic Surgeon

ASPS

NSAIS's before restylane

You will have injections in the hollow below your eyes. This area is extremely susceptible to bruising even without taking NSAIDs. If you do not stop them, it would be very surprising if you didn't get bruising, which could last from a few days to 2 weeks or longer.

Doctor's Website

Eugene Mandrea, MD

Chicago Dermatologist

NSAIDS or Aspirin before Filler Injections

You can take NSAIDs prior to Restylane injections but taking NSAIDs or aspirin substances can lead to slightly more black and blue bruising after treatment. Remember though, black and blue bruises always go away.

David Goldberg, MD

New York Dermatologic Surgeon

Stop the Motrin / Advil - like medication before fillers

It is good practice to stop the non steroidal antiinflammatory agents for two days prior to injectables, especially the hyaluronic acids such as Restylane and Juvederm, prior to use as they can cause bruising themselves. Aspirin should be stopped for ten days before the procedure, but some patients need to take it for important reasons and they may continue, but they may experience more bruising.

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Ronald Shelton, MD

Manhattan Dermatologist

Definitely stop taking Aspirin and NSAIDs before Restylane

Under the BEST of circumstances Restylane and Juvederm are associated with some bruising and swelling. But, multiple medicines and foods greatly thin our blood anywhere from a week to a month. Being treated while taking them will greatly increase the likelihood you will have busing. If you are taking Aspirin, Advil, Alleve, Naprosyn - and wish to minimize the chances of bruising, stop taking them 3 weeks before any procedure. You may ALSO want to stop Vit. E, Garlic, Licorice, Ginko among... more

Peter A. Aldea, MD

Memphis Plastic Surgeon

ASPS

Aspirin and injectables

I ask my patients ro refrain form aspirin and NSAIDS as they will be an increase chance of bruising. Vitamins and omega fish oil have also been shown to thin the blood so they should be avoided as well. Icing both before, during and after can help reduce the bruising as well as there is vasoconstriction.

Sharon Theresa McLaughlin MD

Long Island City Plastic Surgeon

Avoid aspirin, herbs, vitamins and anything you can a week before Restylane injections

While there are many things that can make a treatment with fillers into a bruising experience (literally), the technique of the person who is injecting and the appropriate decision as to where to inject is the most important. We see many patients where this area tends to be overdone in the end result, so make sure you are going to an expert and insist that the physician be the one who is injecting. This is not something for a novice or you'll regret it. Good luck.

Joel Schlessinger, MD

Omaha Dermatologist

Restylane Injections of Lower Eye Lids, Best Way to Avoid Bruising

Hi Starfire, Get your dark sun glasses ready for work the day after your injections. Just kidding. Needles in the delicate lower eye lid area can cause some bruising even in the best, most experienced injectors hands. To help minimize your chances of bruising, discontinue all anti-inflammatories for at least 10 days prior to your treatment. Start taking Arnica and use ice at the injection session. Your injector should give you an instruction sheet of medications to avoid. Good luck and... more

Michael A. Persky, MD

Los Angeles Facial Plastic Surgeon

Avoid several things...

I recommend that patients discontinue aspirin, NSAID's, fish oil, vitamin E and herbal supplements for at least 10 days prior to filler injections. That is no guarantee you will not bruise, but it reduces the risk. I also recommend the pre-treatment use of Prevedem twice daily for 2 weeks and I massage all patients with Bruise Relief at injection and suggest they use it for 2-3 days after to reduce the incidence and severity of bruising. If you get a bruise, it usually can be concealed, but... more

Mary Lupo, MD

New Orleans Dermatologist

Stop all NSAIDs and Fish Oil Before Fillers

It is crucial that you stop all NSAIDs and supplements like fish oil, omega 3, Vit E for about 2 weeks or at the minimum one week before the fillers. Do not exercise on the day of the filler. Click on the link below (Botox and Filler Instructions) to get more details that I give to my own patients and most of them can go to work right after having their filler injections. Regards

Tanveer Janjua, MD

Bedminster Facial Plastic Surgeon

Absolutely stop medications that thin the blood before Restylane injections

Many presription and over the counter medication thin the blood and make bruising much more likely with under eye Restylane treatment. Herbal products are also likely to thin the blood. Even the grapefruit juice in the South Beach diet seems to increase the risk of bruising. I would recommend that you contact the office where you plan to be treated and get from them their list of medication to avoid. Avoiding these will reduce the chance that you might bruise. However, you can still bruise... more