What increases the risk for bleeding after cosmetic surgery?

Many factors increase the chance of bleeding after cosmetic surgery. Aspirin interferes with clotting and increases the likelihood of bleeding following surgery. Patients should stop taking aspirin five days before surgery.

To err on the safe side, I advise my patients to stop a week prior to surgery. This is a new recommendation with excellent scientific backing, replacing the old "two-week rule." Literally hundreds of other drugs interfere with bleeding.

Your surgeon will give you a list of those you should avoid. Hypertension is notorious for causing bleeding after surgery, particularly after face-lifts. It must be well controlled prior to surgery.

Nausea can cause bleeding when the head is lowered to vomit. Drugs are given during surgery to decrease the chance of nausea following surgery, although in about 20% of people nausea will occur nevertheless. Lowering the head after facial surgery increases the chance of bleeding.

Try it now and you will feel the blood rushing to your head. It is important to not bend down after surgery and to sleep on a pillow or two. Your head should be above the level of your heart.

The risk of bleeding after surgery is highest the first night after the procedure and decreases with each subsequent day. There is some risk as late as three weeks following surgery. Flying is not advised for about two weeks after surgery, since changes in air pressure have been known to cause bleeding.

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