NSAIDS and fillers. Should I reschedule my appointment for another week?

Hello and thank you for your question.  There is already a risk of bruising when getting injections, and if you are on a blood thinner, the chance of the bruise being bigger and darker increases.  It is best to wait at least 5 days from the last time you take your medication.  In addition, you can start to take Arnica a day before your treatment, and a couple days after, to aid in the healing process.  Best of luck.  

In general we recommend avoiding NSAIDs for 1 week, and ASA/aspirin ideally for 1 month before a filler (e.g. Juvederm, Restylane) treatment. This is really only because IF there is bruise, it would be larger and last longer. Tear troughs are notoriously complex to treat, so the most important thing is to have a highly trained and experienced physician injector treating you (e.g. dermatologist).

Thank you for your question.  My advice is to avoid use of NSAIDS (non-steriodal anti-inflammatories) prior to injections due to the increased chance of bruising.  Tear trough injections carry a slightly higher risk of bruising.  My advice is to avoid use of NSAIDS for one week prior to tear trough injections should you be concerned about bruising.  Best of luck.