Botox and blood thinners

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.

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

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.

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.

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.

Always prioritize open communication with your healthcare provider to ensure that they have a comprehensive understanding of your health status and the medications you are taking. Do not make any decisions about stopping or adjusting medications without consulting your prescribing healthcare professional.
Keep in mind that the information provided here is general in nature, and specific recommendations may vary based on individual circumstances. It's essential to follow the guidance of your healthcare provider to ensure a safe and effective Botox treatment while on blood thinners.

Blood thinners make you bleed.
If you’ve had Botox and fillers in the past, then you’ll know there’s always some bleeding involved with the treatments. If that bleeding doesn’t stop, then the amount of bruising can become significantly worse.
it’s not absolutely contraindicated and eventually it’s up to each individual provider and yourself if you’re willing to put up with a potential increased bruising risk of having these treatments.
There are certain techniques that can be used to minimize bleeding and bruising from treatments requiring facial injections. One of them is using vasoconstrictive drugs before the treatment. If a provider uses topical local anesthesia with vasoconstrictive drugs in it, the skin will with time blanch from constriction of blood vessels temporarily while doing the injection. The vasoconstricting drugs create the temporary blanching effect by shutting down the blood flow in the skin treated with topical local anesthetic containing vasoconstriction drugs.
For example, before I do lip fillers, I typically pre-inject the lip with lidocaine and an increased concentration of epinephrine.
I can use very small amounts of local anesthesia and get an excellent vasoconstrictive effect in the lip, making patients virtually have zero bleeding and minimizing the chance of bruising.. This also serves the patient and myself and that the patient has no pain or discomfort during the lip injection. Pre-injecting the lips with lidocaine with epinephrine can be mildly uncomfortable, but typically not nearly as painful as having filler without local anesthesia.
In the end, each provider will have their own decision to make. I suggest you update all providers regarding any changes in medication’s. You take.
Best,
Mats hagstrom, MD.