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

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.