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

Question

I'm due to get eye trough fillers in 2 days, but I'm currently taking 7.5mg of Meloxicam. If I stop meloxicam today, is 2 days going to be long enough? Or should I reschedule my appointment for another week?

Alexander Rivkin, MD · Answer

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.

Benjamin Barankin, MD, FRCPC · Answer

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).

Ryan Welter, MD · Answer

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.

Shagun Aggarwal, MBBS, FRACS · Answer

Hi there - I would suggest deferring your filler injections for a week. NSAIDs thin the blood and increase risk of bruising (due to bleeding). They take several days to wash out of your system - usually 5-7 days so best to wait a week after ceasing them. The risk of bruising is always there, but this will hopefully help reduce it. Good luck!

Marc Cohen, MD (retired) · Answer

NSAIDS increase the chance of bruising.  The area under the eyes does tend to be prone to develop a bruise with injections.  For that reason it is often advisable to not take any blood thinners like NSAIDS for 1-2 weeks before a treatment.

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

Answers (5)

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