If I take Coumadin, can I have Botox or other similar treatments?

Hi there, great
question & one I hear frequently.You can have Botox and fillers while on Coumadin, just realize you may
have an increased risk of bruising.Good
luck!Dr. Michelle Spring

Thank you for your question. Yes, you can have Botox injections - you may bruise or bleed more than someone who is not on Coumadin. Speak with your injector. All the best, 

Thank you for your question! It is safe to have Botox and other non invasive injectable procedures, however you will be running the risk of experiencing more bruising than someone who is not on blood thinners.  Good luck!

yes you can do non invasive treatments while on coumadin.  For fillers we use cannulas to limit complications.  Best, Dr. Emer.

Thank you for your question and for sharing your concerns. You can safely have Botox when on Coumadin, however your risk of bruising is higher than that have the average person. I would recommend plenty of icing before and after your procedure to help constrict your vessels and minimize the chance of bruising.

Blood thinners such as Coumadin are not a contraindication to Botox or other injectable treatments.  However, there is a much higher risk of significant bruising with any blood thinners.  Patients on blood thinners should plan for more down time after treatment.  A good idea is to seek out a specialist in facial aesthetics who has experience treating bruises with lasers such as a pulse-dye laser.  In patients on blood thinners or any patient with bruising, proper treatment with a vascular laser can speed the resolution of a bruise by several days.

Yes, you can have botox, but bruising or even a small hematoma is more likely if you are on blood thinners.  Although unlikely, if you were to get a significant hematoma while injecting botox around the eyes, it is theoretically possible to have migration of the injection into surrounding areas that you do not with to paralyze, such as the upper eyelid.  Make sure you notify your doctor about your blood thinner use before injection.  

The physician treating you would make the decision as to whether you could be treated with Botox while you are taking Coumadin.  Some physicians will do this, but some may not.  Personally, I have done this with no problem.  You may be more likely to bruise after the procedure and sometimes a little pressure is needed to stop any trickle of bleeding.  

If you are on any type of blood thinner (strong ones such as Coumadin,
or milder ones such as Aspirin), you are more likely to see bruising after
Botox injections. However, the occurrence of bruising remains small, since Botox
is injected with such a fine needle. If you are considering fillers, you should
have a solid discussion with your physician/ injector. The use of cannulas
(blunt tube) instead of needles should be a must if you go ahead with fillers.

Hi Liz, it is reasonable to have Botox injections while on Coumadin however you are at increased risk for bruising. I would take extra time to hold pressure during and following the injections with post-procedure icing to try and decrease the risk of bruising.