Are lip fillers safe for patients with bleeding disorders?

Question

Hello, I'm interested in starting lip fillers (Kysse or Revenesse). I see on their websites that they're not suitable for people with bleeding disorders. I have a very, very mild case of factor V haemophilia, which does not affect my daily life at all, but I can sometimes bruise easily. Are there filler options for someone with such a condition?

Nadir Qazi, DO · Answer

If you have a bleeding disorder, such as factor V haemophilia, it's important to consult with your dermatologist or medical professional before considering lip fillers. While fillers are generally considered safe, they may not be suitable for individuals with bleeding disorders due to the risk of bleeding and bruising.
In your case, where you have a very mild case of factor V haemophilia, lip fillers may still be an option, but it's important to proceed with caution and under the supervision of a qualified medical professional.
Your dermatologist may recommend using a hyaluronic acid-based filler, such as Kysse or Revenesse, which are known for their safety profile and have a low risk of causing complications. However, it's important to keep in mind that even with hyaluronic acid-based fillers, there is still a risk of bruising and bleeding.
Your medical professional may also recommend taking certain precautions before and after the treatment to minimize the risk of bleeding, such as avoiding blood thinners, aspirin, and nonsteroidal anti-inflammatory drugs (NSAIDs) for a period before and after the treatment.
Ultimately, the decision to proceed with lip fillers will depend on the severity of your bleeding disorder, your medical history, and your individual risk factors. It's important to discuss your options with a qualified medical professional and follow their recommendations closely to ensure a safe and successful treatment outcome.

Nima Shemirani, MD · Answer

Hi @sararr89. Lip fillers are generally safe. Due to your history of FACTOR V, you may have increased bleeding and bruising. I strongly recommend arnica pills 2-3 days prior to injection. In addition, I recommend avoiding anti-inflammatories (Ibuprofen, Aleve, Omega-3, Vitamin E) at least 10 days prior to filler injections.  In your case, I also recommend using a cannula rather than numerous needle injections to decrease chances of bruising and bleeding.

Leonard Grossman, MD · Answer

It’s not necessarily a history of the disorder, but how a patient reacts to certain situations that’s more important. I believe that you could have lip augmentation as long as the plastic surgeon who is performing the procedure will use a minute cannula to administer the filler. Both of the products you mentioned are excellent. Worst case scenario, you will have a bruise which will go away. I hope this helps and good luck from New York City Plastic Surgery.

Mats Hagstrom, MD (license on probation) · Answer

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

Are lip fillers safe for patients with bleeding disorders?

Answers (4)

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