If I take a daily Aspirin can I still get fillers/surgery for undereye bags? (Photos)

Thank you for your question about eyebag treatment. Fillers would be a wonderful treatment option for you.  In our office we use hyaluronic acid (HA) fillers.  Hyaluronic acid occurs naturally in our bodies: in our skin and joints.   JUVÉDERM VOLUMA, a product by Allergan, is a sterile, biodegradable, viscous injectable gel filler.  This facial filler restores age-related volume loss for up to 2 years in adults over the age of 21.  Voluma is injected into the deeper tissues of the mid-face and cheeks to restore volume and fullness, giving a more youthful and smoother appearance. The gel is the first and only HA filler with lidocaine FDA-approved for this purpose. You would still be able to get fillers while taking aspirin.  However, you would need to prepare yourself for having more bruising and bleeding.
To be sure, see two or more experienced, licensed and board-certified providers in your area for a complete evaluation to make sure you are a good candidate and that it is safe for you to have treatment. I hope this helps.

Hello and thank you for your question/photos.
Your history of a stroke does not preclude you from having a lower lid blepharoplasty. The concerning aspect would be the use of aspirin prior to surgery. Aspirin has an anticoagulant effect and could result in a hematoma and/or excessive bruising when performing the operation. 
If you are truly interested in pursuing a lower eyelid blepharoplasty, I would have a discussion with your neurologist about holding your aspirin prior to surgery to decrease the chances of a bleeding related complication. You would want to stop the aspirin a minimum of seven days prior to surgery.
Hope this helps answer question. All the best!
Alex Zuriarrain, MD, Plastic Surgery

Aspirin use when receiving fillers increases your chances of bruising from the treatment, but you may proceed if you are aware of this risk.  However when considering surgery a further review of your health history would be necessary to determine if you are a candidate.  Many patients are able to proceed with surgery with some modifications in place.  I recommend meeting with a board certified plastic surgeon in your area to learn more about what is best for you.

Thanks for sharing your question and photos. You can certainly have undereye filler treatment while on Aspirin although there will be a slightly higher risk of bruising. The risk of bruising and swelling when treating the undereye can be minimized by having the filler injected using a microcannula. I will defer to the plastic surgeons for comment on blepharoplasty (eyelid surgery) and Aspirin. 

In my opinion , stopping your daily aspirin for about a week before your filler injection ,would be the prudent approach . This would minimize the amount of bruising and swelling that you would get around the eye area after the injection .
It would be great moratant to seek the consult of a board certified plastic surgeon to get a proper recommendation as to the best treatment for your anatomy .

Yes, you can still get injection procedures done, but realize there will be greater risk for bleeding, bruising, and possibly less optimal results if swelling occurs during injections skewing the topography of your tissues during filler injections.  I have treated patients on aspirin and plavix with under eye filler ("filler blepharoplasty"), and have had no complications.  I suggest cannula use for under eye treatments most of the time as a larger-sized cannula (25G or smaller) potentially has less risk of inadvertent injection into a blood vessel or to injure the eye.  With botulinum neuromodulator wrinkle blockers (e.g., Xeomin, Botox, Dysport) if bruising occurs during injections the toxin can spread to unwanted areas causing a weakened effect where it was intended and/or a side-effect not intended (double vision, drooping of tissue or eyelid).  An experienced injector should be able to safely help you as long as you understand the risks are a bit higher, but not extremely high or more serious than usual.  Best regards.

Thank you for your question, taking an Aspirin will not preclude you from either filler or lower eyelid surgery, you will however have much more bruising than someone not taking aspirin, I would discuss with your local surgeon which options may be best for you but looking at the photos you have supplied I think filler to the lower eyelid/tear trough area would be a good place to start. 

Thank you for your question. You submitted several photos and state you’re 34-years-old, had a stroke 6 years prior,you’re fully recovered, and you’ve developed these under eye bags. You’re asking if you can still have surgery or fillers given you take aspirin every day.
I can help you by explaining what I do in my practice. A little background: I’m a Board-certified cosmetic surgeon and Fellowship-trained oculofacial plastic and reconstructive surgeon. I have been in practice in Manhattan and Long Island for over 20 years. Helping people with under eye aesthetics has been a significant part of my practice, and I’m very busy with both the surgical solutions as well as injectable fillers in my practice to help people with situations similar to yours.
It’s important for your doctor to be comfortable with you being off aspirin, and for how long because basically, the concern is about bleeding. It is not unusual for someone who has to take aspirin daily to still have procedures, whether it’s aesthetic or otherwise, by staying off the aspirin for several days. It is sometimes important for people to do this before dental procedures, and medical procedures for routine health maintenance such as colonoscopy. It would be a discussion with your doctor on how comfortable they are with you being off aspirin.
Given you had a stroke, it is important to understand whether or not holding off of aspirin will put you in any significant relative risk. Generally speaking, because of the effect of aspirin on blood clotting, person who is off aspirin for a few days, generally we ask 5-7 days, aspirin still has an effect on the clotting because there is also the effect of 30 days on the platelets. That said, there is still a certain amount of blood thinning still present even when you are off aspirin for a few days. Every situation is handled on a case-by-case basis, but we have a lot of patients who have had similar stories while on aspirin for a variety of reasons, from cardiac stents, or issues with the carotid artery; there are a lot of indications for daily aspirin.
As far as options with injectables or surgery, this requires understanding of what your outcome can be. Often when someone has a mild amount of puffiness under their eyes, injectable fillers can be very effective. Understand when you have injectable fillers, you can still be at risk of bruising because you are entering the skin. There are different ways to do the injectable fillers so that you can actually minimize the bruising. I routinely use blunt cannulas when I do fillers under the eyes, and I find it just works out so well and are so precise. I do so much of it that it’s become fairly routine, and usually bruising is not much of an issue.
The techniques we employ for lower eyelid surgery under local anesthesia with LITE™ IV sedation, we minimize the risks of bleeding just in the process of surgery, as well as in the recovery from the sedation. Often, my colleagues want to put patients under general anesthesia, and people on blood thinners, when waking from general anesthesia, unfortunately have a risk of coughing that can be potentially lead to bleeding. When we do our procedures under local anesthesia with sedation, coughing is not really much of an issue, but people can still cough, but not the way that they would after a tube is removed from their throat with general anesthesia. Anesthesiologists can counter that by putting people under a deeper state, take the tube out, etc., but these are things we’ve learned to not need to depend on.
The point is that in the right scenario, you can do either fillers or surgery. I generally counsel my patients to do whatever is the least invasive first, to accomplish an outcome you will be comfortable and happy with, then you can start with something like injectable fillers first. Fillers can be very effective as long as the puffiness is not too prominent. Once it’s too prominent, then it’s not really useful to do fillers, but have a cosmetic surgical procedure
Meet with qualified, experienced cosmetic surgeons who perform a lot of eyelid rejuvenation, both with injectable fillers and surgery, see what kind of impression you get from them, and take it from there. The answer to the aspirin question is really between your doctor’s level of comfort of having you off aspirin. Invariably, especially for someone as young as yourself, as you get older, there are going to be times where holding aspirin will be appropriate for medical procedures. Understand that context, and you’ll probably get an answer as to how comfortable your doctor is as far as the relative risk of having another cerebral event. I hope that was helpful, I wish you the best of luck, and thank you for your question.This personalized video answer to your question is posted on RealSelf and on YouTube. To provide you with a personal and expert response, we use the image(s) you submitted on RealSelf in the video, but with respect to your privacy, we only show the body feature in question so you are not personally identifiable. If you prefer not to have your video question visible on YouTube, please contact us.

From these photos, it looks like you would get a homerun result with an upper and lower lid TC blepharoplasty. This procedure would make you look more rested and open up your eye. In my experience the most important thing in assuring a quick recovery from blepharoplasty is minimizing bruising and swelling. Bruising is much easier to prevent that to get rid of. I have all my patients ice as much as possible from the time they get home until they go to sleep that first night. And I instruct them to not recline any more than 45 degrees until they go to sleep that night. And stay away from salt. Patients who follow these instructions generally heal very quickly with little or minimal bruising or swelling. See a board certified surgeon in your area with an expertise in aesthetic surgery for more information. Good luck with your procedure!
Dean Vistnes, M.D.Vistnes Plastic SurgerySan Francisco Bay Area
#realself #drdeanvistnes #blepharoplasty

Hi there and thank you for the inquiry. It is best that you consult with an experienced cosmetic facial plastic surgeon for an in-person evaluation of your medical history to establish if you are a suitable candidate for blepharoplasty surgery. You can still achieve improvements non-surgically with under eye dermal fillers like Redensity[ll] to help restore lost volume and radiance to the under eye area. See attached links for more information.