Should You Stop Aspirin Before Eyelid Surgery? Expert Advice - Plastic Surgery

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When considering eyelid surgery, particularly for procedures like blepharoplasty (eyelid lift), it is crucial to evaluate the use of medications such as aspirin and other anticoagulants. Aspirin is commonly used for its antiplatelet effects, which can help prevent blood clots, especially in patients with heart conditions. However, it can also increase the risk of bleeding during and after surgical procedures.

1. Consultation with Your Surgeon:
Before making any decisions about stopping medications, it is essential to have a thorough discussion with your surgeon and possibly your cardiologist. They will assess your individual health status, the specific risks associated with your heart condition, and the potential benefits of continuing or discontinuing aspirin.
2. General Recommendations:
Typically, surgeons recommend stopping aspirin at least 5 to 7 days before elective surgery to minimize the risk of excessive bleeding. However, this recommendation can vary based on individual circumstances. For patients with significant cardiovascular risk, the surgeon may advise against stopping aspirin, as the risk of a cardiovascular event may outweigh the risks associated with increased bleeding.

3. Alternatives and Adjustments:
If your surgeon advises stopping aspirin, they may suggest alternative medications or adjustments to your current regimen to manage your heart condition without increasing surgical risks. For instance, they might recommend switching to a different anticoagulant that has a shorter half-life or is less likely to cause bleeding.

4. Monitoring and Postoperative Care:
If you do stop aspirin before surgery, it is vital to monitor your health closely and follow any specific instructions provided by your healthcare team. After surgery, your surgeon will provide guidelines on when it is safe to resume aspirin and any other medications. This is crucial to ensure that you do not increase your risk of a thromboembolic event postoperatively.

5. Other Medications:
In addition to aspirin, you mentioned taking "保栓通" (which translates to a medication for preventing blood clots). It is equally important to discuss this medication with your healthcare provider. The same principles apply: assess the risks and benefits of continuing or stopping this medication before surgery.

6. Conclusion:
In summary, whether or not to stop aspirin before eyelid surgery is a decision that should be made collaboratively with your healthcare providers. They will consider your overall health, the nature of your heart condition, and the specifics of the surgical procedure. Always prioritize clear communication with your medical team to ensure the safest and most effective approach to your surgery.
Remember, the goal is to minimize surgical risks while adequately managing your heart condition. Following your surgeon's advice and maintaining open lines of communication with your healthcare providers will help ensure a successful outcome for your eyelid surgery.