Are lip fillers safe for patients with bleeding disorders?

Lips are some of the most vascular tissue in the body.
With abnormal blood clotting factors you are at increased risk for excessive bruising.
My personal technique for injecting lip fillers it’s too inject the lips first using fairly high concentrations of epinephrine containing local anesthesia. Using 2% lidocaine with a 1 to 30,000 Epinephrine creates intense vasoconstriction making the lips blanch almost completely shutting down the blood supply to the lips temporarily.
Once sufficiently Beso constricted filler can be injected with minimal chance of excessive bleeding or bruising. this technique also makes the filler injection completely painless. there is a risk from bleeding from injecting local anesthesia but using good technique, injecting slowly and using very small needles reduces the risk substantially.
This technique would probably be the ideal way to minimize the chance of bruising which is very real in your case.
This technique is something I’ve developed personally and I don’t know other plastic surgeons who use it.I don’t know of other plastic surgeons who mix their own local anesthesia solutions.
If you decide to have fillers you need to except the risk of bruising and then your case this may be substantial.
Best,
Mats Hagstrom MD