Transexamic Acid (Txa) use to prevent bruising-experience and risk?

Bruising can occur after any facial surgery. It should be minimized as much as possible. The best way to minimize bruising is to have meticulous surgical technique and hemostasis. Tax is used as an adjunct to surgical technique but would not take the place of careful hemostasis. I presently do not have any experience with Txa because I am extremely careful about my hemostasis before closing my incisions and have minimal bruising. I don’t believe that there are any specific risks to Txa nor am I aware that there are other better alternatives. Best wishes.

Hi, thank you for your question. We routinely use TXA for our facelifts and the incidence of postoperative bruising and hematomas is very low. It's a great product that is used in multiple surgical procedures to prevent bleeding during and after the procedure. There is basically no risks of using TXA during a facelift. It is important though, that you use a surgeon with a lot of experience doing facelifts, since this is just an adjunct to the actual procedure. Good luck!

TXA is a great medication to decrease bruising and is more and more commonly used in cosmetic surgery. I use it in all of my facelifts and think it makes a good improvement. Using perioperative arnica and bromelain supplements can also help, as well as discontinuing supplements that "thin your blood" like fish oil, turmeric, etc. It is a fair question to ask your surgeon if they use TXA, but as it is a newer addition to the field, not every surgeon has adopted it into their practice yet.

We routinely add TXA to the local anesthetic for our facelifts, and it does seem to help minimize the swelling and bruising. It is very safe when done this way.

There is so much more than TXA that can affect bruising. In other words, people can still have a lot of bruising with TXA. The data is clear that it is safe and it's benefit is minimizing intra-operative bleeding, allowing the surgeon to concentrate on the task at hand and not distracted with stopping the bleeding. The key to a good result is the experience of the surgeon, not the use of TXA.