Botox and blood thinners

Question

Is it possible to continue to get Botox and dysport treatments if you are required to take prescription blood thinners that can’t be stopped prior to treatment? What about fillers while on blood thinners? Thank you.

Jose Telich, MD · Answer

The decision to receive Botox, Dysport, or dermal fillers while on prescription blood thinners should be made carefully in consultation with both your prescribing physician and the healthcare professional administering the cosmetic treatment.

Blood thinners can increase the risk of bruising or bleeding at the injection sites. In certain cases, it might be possible to proceed with the injections, but precautions will likely be necessary. Your healthcare provider might adjust the injection technique, use smaller needles, or apply pressure after the procedure to minimize the risk of bleeding or bruising.

Caner Kacmaz, MD · Answer

Bruising and swelling are the possible side-effects of botox and filler injections. Blood thinners can definitely make these symptoms worse. It is best to avoid taking them for 3-5 days before your treatment and at least a day afterwards if possible

Camille Cash, MD · Answer

Those who take prescription, over the counter, or supplements that thin the blood can experience more significant bruising when undergoing filler or Botox treatments.  It's important to review all medications and supplements that you take with your injector prior to treatment.

Anshul Gambhir, MD · Answer

Hi, thank you for your question! Yes, botox and filler can be done while taking blood thinners. Your risk of bruising after injections may increase due to the blood thinner. I would recommend taking arnica tablets a couple of days before and after. I would not stop your blood thinners for any injectables.

Jordan R. Conger, MD · Answer

Good morning!
It is possible to continue to get botox or dysport treatments while on blood thinners. One would carry an extra risk of bruising and swelling. Fillers are more invasive and again will likely lead to more bruising and swelling and therefore are higher risk. 
I hope this helps.

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Botox and blood thinners

Answers (7)

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