Can I get a facelift if I take warfarin? Other options for sagging skin?

This is an issue that you will need to discuss with your Internist, because you cannot have a facelift while on warfarin or heparin. With portal vein thrombosis, you may be considered too high a risk for elective surgery. Some of the anti-platelet agents(dabigatran/ pradaxa) have a shorter half life and can be stopped up to 48 hours prior to surgery. However, whether or not you are suitable to make such a change is up to your medical team.

I agree that most surgeons would not be excited about performing a facelift while on Warfarin. Bridging therapy with Lovenox is an option, however it will be a discussion between yourself, the surgeon, and your doctor managing your anticoagulation regarding when it is safest to restart Warfarin while ruling the risks and benefits. It's always important to keep in mind that we don't want to risk your medical health to perform an elective surgery. Best of luck!

Your overall health is the most important issue. Your anticoagulation is likely extremely important and stopping it may not be an option. You may check with your hematologist about whether you could have a quick reversal of your warfarin, a facelift procedure, and then resumption of your warfarin within just one or two days. You would need to coordinate this with your plastic surgeon to see if they are comfortable doing this. If you are not considered a surgical candidate, you may investigate different energy-based skin tightening systems which may improve the areas which you are concerned about. Best wishes.