Angina is a symptom of coronary artery disease of the heart. Angina is a syndrome caused by insufficient blood flow to the heart muscle. When heart muscle does not receive enough blood flow, we say that it is ischemic. This causes chest pain or pressure that is experienced in the chest and may radiate into the left arm and into the jaw. Individuals often report that the discomfort is like an elephant sitting on their chest and is often associated with nausea, vomiting, and the awareness of impending doom. These symptoms should prompt seeking immediate medical care by calling 911 in the United States. Immediate medical care is warranted and often life saving. Treatments very much depend on the exact basis for the symptoms and includes acute coronary artery interventions like cardiac artery angiography to study the basis for the angina and the used of angioplasty and artery stents to reestablish normal blood flow to the heart. So when you say you have angina, if you showed up to my office with angina, it should be recognized as the medical emergency that it is and I have personally diagnosed this condition and called for an ambulance for individuals experiencing these symptoms. Under those circumstances it is not appropriate to be treated with an elective treatment like lip fillers. On the other hand, there are individuals with a history of angina, who have been fully medically assessed, have been treated for their angina, and on appropriate medication. Basically, they are no longer in danger from angina. Lip fillers under these circumstance can be safely performed with important exceptions. Many individuals who have recently had cardiac intervention to treat angina, are also on medications to reduce the likelihood of reoccurrence of symptoms. Some of these medications can include powerful blood thinners. Individuals who are on these medications to prevent the formation of clots in the coronary arteries are had high risk of having severe bruising with a filler treatment. Recommendations in this circumstance need to be individualized.