Botox and filler while on Eliquis

Question

Hello,  Several months ago I was put on Eliquis 2.5mg twice daily. It's time for me to do the botox and nasolabial folds filler like juvederm. How long should I be off Eliquis before and after the procedure? And I'm also wondering if it would be safe for me to have morpheus8. I've never had it done before.  Thanks so much!

Anna Chacon, MD, FAAD · Answer

When considering cosmetic procedures such as Botox, fillers, or Morpheus8 while on anticoagulant medication like Eliquis (apixaban), it's essential to proceed with caution due to the increased risk of bruising and bleeding. Here are some general guidelines and considerations:

Consult Your Physician: Before stopping or altering your Eliquis regimen, consult with the healthcare provider who manages your anticoagulation therapy. They can assess the risk of discontinuing the medication and provide personalized advice based on your medical history.

Risk of Bruising and Bleeding: While Botox injections are generally safe, fillers and treatments like Morpheus8, which involve needles or micro-needling, may increase the risk of bruising and bleeding. This risk is heightened when on anticoagulants.

Stopping Eliquis: If your physician advises pausing Eliquis, they will provide a specific timeline. Generally, anticoagulants are stopped 24-48 hours before procedures to reduce bleeding risk, but this varies based on individual health factors.

Post-Procedure Considerations: After the procedure, your doctor will advise when it's safe to resume Eliquis. This is typically once the risk of bleeding from the procedure has decreased, but again, it depends on your specific circumstances.

Safety of Morpheus8: Since Morpheus8 involves microneedling and radiofrequency, discuss with both your dermatologist and the physician managing your anticoagulation therapy to ensure it's safe for you.

Alternative Options: If pausing Eliquis is not recommended, discuss alternative cosmetic procedures that pose less bleeding risk with your dermatologist.

Always prioritize safety and ensure all your healthcare providers are informed of your current medications and planned procedures.

Botox and filler while on Eliquis

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Botox and filler while on Eliquis

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Everything you need to know about Cheek Fillers

Our mission is to create a world where every investment in modern beauty is Worth It.