Hi Beatrice, That’s a very thoughtful and important question — I’m glad you asked before moving forward. The Clear + Brilliant laser, including both the Original and Permea versions, is considered a non-ablative fractional laser, meaning it works gently on the surface and within the upper layers of the skin without causing open wounds or significant bleeding. That said, since you’re on blood thinners after having a stent, there are a few considerations. While the treatment itself doesn’t usually cause bleeding, being on anticoagulant medication can increase the risk of bruising, pinpoint bleeding, or prolonged redness after the procedure. These side effects are typically mild but can be more noticeable or last a bit longer in your case. As long as your cardiologist clears you to continue your medication (which is very important — you should never stop blood thinners for cosmetic procedures), the treatment can often still be performed safely with extra care. Your provider would likely use gentler settings, apply cooling measures, and avoid any unnecessary pressure during the procedure to minimize bruising. In short, it’s generally safe, but it’s best to proceed cautiously and with close communication between your skincare provider and your cardiologist.