Can I have liposuction if I am on blood thinners?

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Discuss with your liposuction surgeon any blood thinners and other medication you are on before liposuction surgery.

Liposuction creates tunnels in your subcutaneous fat. In the process, tiny blood vessels are damaged that can lead to bleeding. Since liposuction solution containing epinephrine is used to infiltrate the fat, the epinephrine shrinks down the size of blood vessels such that the bleeding is diminished. However, if you take blood thinners and anti-platelet agents such as aspirin, coumadin, Plavix, Xarelto or take ibuprofen regularly, the body is not able to stop the minute bleeding effectively, leading to an increased risk of significant bleeding during your surgery, blood collections after surgery that may require drainage, or at the very minimum, significant bruising.

If you are on any blood thinning medication, inform your doctor. In some cases, these medications can be safely discontinued 1 to 2 weeks before surgery, but in other cases, it may be unsafe to stop these medications such that you should not undergo the liposuction procedure.

Herbal remedies (including teas and soft drinks with herbal additives) and vitamin pills especially Vitamin E should also be stopped before your surgery after discussing with your physician. This also includes common herbal “blood thinning” agents such as turmeric and saw palmetto.

Products to avoid before liposuction surgery

The following over the counter and prescription medications should also be stopped prior to liposuction surgery, strictly upon the advice of your physician. If for some reason you can’t stop taking one of the these medications, contact your liposuction surgeon immediately.

GENERIC NAMEBRAND NAME
AbciximabReoPro
ArdeparinNormiflo
AspirinAlka-Seltzer, Ecotrin, Baby Aspirin, Bayer, Anacin, Ascriptin, Aspergum, Aspercream, Bufferin, Fiorinal, Empirin, Doans Pills, Mobegesic, Pamprin, Norgesic, Pepto-Bismol, Percodan
Birth Control Pill or PatchEstrogen or Progerterone products
CelecoxibCelebrex
Choline SalicylateTrilisate, Tricosal, Arthropan
CilostazolePletal
ClopidogrelPlavix
CoricidinCoricidin
DalteparinFragmin
DiclofenacCataflam, Voltaren, Arthrotec
DiflunisalDolobid
DipyridamolePersantine, Aggrenox
EnoxaparinLovenox
Eptifibatidelntegrilin
EtodolacLodine, Lodine XL
FenoprofenNalfon, Nalfon 200
FlurbiprofenAnsaid
HeparinHeparin
Hormone ReplacementEstrogen or Progesterone products
IbuprofenMotrin, Tab-Profen, Vicoprofen, Advil, Cambunax, Excedrin 18, Nuprin, Midol
lndomethacinlndocin, lndacinSR, Inda-Lemmon, lndamethagan
KetoprofenOruvail, Orudis, Actran
KetorolacTaradal
MeclofenamateMeclomen
Mefenamic AcidPanstel
MeloxicamMabie
NabumetoneRelafen
NaproxenNaprosyn, Anaprax, Anaprox DS, EC-Naproxyn, Naprelan, Naprapac, Aleve, Midol
OxaprozinDaypro
PhentermineAcxion, Adipex, Duromine, Elvenir, Fastin, Lomaira, Panbesy, Qsymia, Razin, Redusa, Sentis, Suprenza, and Terfamex
PiroxicamFeldene
RaloxifeneEvista
SulindacClinaril
TamoxifenNalvadex, Tamafen, Tamaplex
TiclopidineTiclid
Tinzaparinlnnohep
TirofibanAggrastat
TolmetinTalectin, Talectin DS, Tolectin 600
WarfarinCoumadin