{"id":10300,"date":"2026-06-16T07:48:17","date_gmt":"2026-06-16T07:48:17","guid":{"rendered":"https:\/\/kliniekhetbolwerk.nl\/blood-thinners-and-platelet-inhibitors-which-medication-is-relevant-with-an-eyelid-correction\/"},"modified":"2026-07-12T16:17:57","modified_gmt":"2026-07-12T16:17:57","slug":"blood-thinners-and-platelet-inhibitors-which-medication-is-relevant-with-an-eyelid-correction","status":"publish","type":"post","link":"https:\/\/kliniekhetbolwerk.nl\/en\/blood-thinners-and-platelet-inhibitors-which-medication-is-relevant-with-an-eyelid-correction\/","title":{"rendered":"Blood thinners and platelet inhibitors: which medication is relevant with an eyelid correction?"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-post\" data-elementor-id=\"10300\" class=\"elementor elementor-10300 elementor-9655\" data-elementor-post-type=\"post\">\n\t\t\t\t<div class=\"elementor-element elementor-element-6e1d1e28 e-flex e-con-boxed e-con e-parent\" data-id=\"6e1d1e28\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;jet_parallax_layout_list&quot;:[]}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-3edca1ea elementor-widget elementor-widget-text-editor\" data-id=\"3edca1ea\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Are you using medication that thins your blood? Then it is important to report this with an eyelid correction. Below you will find an overview of the most commonly used blood thinners and platelet inhibitors, and what this means for your treatment.  <\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-aa53687 elementor-widget elementor-widget-heading\" data-id=\"aa53687\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Which medication does this concern?<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-bcece18 elementor-widget elementor-widget-text-editor\" data-id=\"bcece18\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<ul><li>Acetylsalicylic acid: Aspirin, Aspirin Cardio, Aspro, Ascal, and the unbranded &#8216;acetylsalicylic acid Cardio&#8217;<\/li><li>Platelet inhibitors: clopidogrel (Plavix, Grepid, Iscover), prasugrel (Efient), ticagrelor (Brilique), dipyridamole (Persantin, often combined with acetylsalicylic acid as Asasantin Retard)<\/li><li>Vitamin K antagonists: acenocoumarol (Sintrom) and phenprocoumon (Marcoumar)<\/li><li>DOACs (direct oral anticoagulants): apixaban (Eliquis), rivaroxaban (Xarelto), dabigatran (Pradaxa), edoxaban (Lixiana)<\/li><li>Low-molecular-weight heparins (LMWH, injections): nadroparin (Fraxiparine, Fraxodi), enoxaparin (Clexane), dalteparin (Fragmin), tinzaparin (Innohep)<\/li><li>Other anticoagulants (injection): fondaparinux (Arixtra)<\/li><\/ul>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-da40fd3 elementor-widget elementor-widget-heading\" data-id=\"da40fd3\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">And also freely available products such as?<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-75e2201 elementor-widget elementor-widget-text-editor\" data-id=\"75e2201\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<ul><li>Fish oil<\/li><li>Ginkgo<\/li><li>Vitamin E-containing preparations<\/li><\/ul>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-84040af elementor-widget elementor-widget-heading\" data-id=\"84040af\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Why is this relevant?<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-a454ec6 elementor-widget elementor-widget-text-editor\" data-id=\"a454ec6\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>This medication increases the risk of bleeding and bruising (haematomas) during and after the procedure. In the worst case, a bleed behind the eye (retrobulbar haematoma) can arise, a rare but serious complication [1]. <\/p><p>Still, stopping is not always necessary. Research shows that patients who continued their antiplatelet or anticoagulant therapy had no increased risk of intra-operative bleeding or serious bleeding complications [2]. <\/p><p>Stopping this medication also carries risks: an increased chance of thrombosis, heart attack or stroke. The consideration between these risks is always made on an individual basis [2,3]. <\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-f5f25c1 elementor-widget elementor-widget-heading\" data-id=\"f5f25c1\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Our protocol at Kliniek het Bolwerk<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-1f6c04f elementor-widget elementor-widget-heading\" data-id=\"1f6c04f\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">1. Complete medication inventory<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-db7e16e elementor-widget elementor-widget-text-editor\" data-id=\"db7e16e\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>We actively ask you about each of the following products, by name: acetylsalicylic acid (Aspirin, Aspirin Cardio, Ascal), clopidogrel (Plavix), prasugrel (Efient), ticagrelor (Brilique), dipyridamole\/Asasantin, acenocoumarol (Sintrom), phenprocoumon (Marcoumar), apixaban (Eliquis), rivaroxaban (Xarelto), dabigatran (Pradaxa), edoxaban (Lixiana), and injections such as Fraxiparine, Clexane, Fragmin, Innohep or Arixtra. In addition, we ask about freely available products such as acetylsalicylic acid, fish oil, ginkgo and vitamin E [4]. <\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-75bbea3 elementor-widget elementor-widget-heading\" data-id=\"75bbea3\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">2. Consultation with the prescribing doctor<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-c32fbae elementor-widget elementor-widget-text-editor\" data-id=\"c32fbae\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Are you using DOACs, vitamin K antagonists or platelet inhibitors? Then, before the consultation, contact your prescribing cardiologist, internist or GP [2,3].<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-629de7f elementor-widget elementor-widget-heading\" data-id=\"629de7f\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">3. Adjusted surgical technique<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-6c70c7f elementor-widget elementor-widget-text-editor\" data-id=\"6c70c7f\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>With patients who continue their blood thinners, we adjust the technique: more restrained with deeper tissue, extra haemostatic agents and a pressure bandage [5].<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-226fbef elementor-widget elementor-widget-heading\" data-id=\"226fbef\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">4. Clear instructions<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-6be734d elementor-widget elementor-widget-text-editor\" data-id=\"6be734d\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>We give clear instructions about which medication should or should not be (temporarily) stopped, always in consultation with your doctor.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-bfdcb71 e-con-full e-flex e-con e-child\" data-id=\"bfdcb71\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;,&quot;jet_parallax_layout_list&quot;:[]}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-1fce09b elementor-widget elementor-widget-text-editor\" data-id=\"1fce09b\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p><i><span style=\"font-weight: 400;\">Important: never stop acetylsalicylic acid, Plavix, Sintrom, Eliquis, Xarelto, Pradaxa or comparable medication on your own initiative. This is always done in consultation with your treating doctor and the clinic. <\/span><\/i><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-1587f2c elementor-widget elementor-widget-heading\" data-id=\"1587f2c\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">When do we advise against the procedure (for the time being)?<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-73ca29a elementor-widget elementor-widget-text-editor\" data-id=\"73ca29a\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<ul><li style=\"font-weight: 400;\" aria-level=\"1\">In the case of use of heavy anticoagulants shortly after a heart attack, stroke or stent placement, without consultation with the cardiologist [3]<\/li><li style=\"font-weight: 400;\" aria-level=\"1\">In the case of a combination of several blood-thinning products without clear medical coordination<\/li><li style=\"font-weight: 400;\" aria-level=\"1\">If the prescribing doctor advises against the procedure at this time<\/li><\/ul>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-435c0d7 elementor-widget elementor-widget-heading\" data-id=\"435c0d7\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Our advice\n<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-c758f5a elementor-widget elementor-widget-text-editor\" data-id=\"c758f5a\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Are you using one of the above-mentioned medicines? Bring a complete medication overview to the intake consultation at Kliniek het Bolwerk. Before the consultation, discuss with the prescribing doctor whether the blood thinners may be stopped, from when before the treatment up to how many days after the treatment. Together we look, if necessary in consultation with your doctor, at what the safest approach is for your situation.   <\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-61bfeb9 elementor-widget elementor-widget-heading\" data-id=\"61bfeb9\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Literature references<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-d3978ea elementor-widget elementor-widget-text-editor\" data-id=\"d3978ea\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>The publications below form the medical-scientific basis of this article:<\/p><ol><li>Complications of Blepharoplasty: Prevention and Management. PMC. <a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC3357590\/\" target=\"_blank\" rel=\"noopener\">https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC3357590\/<\/a> <\/li><li>Perioperative Considerations for Antithrombotic Therapy in Oculoplastic Surgery. Ophthalmic Plastic &#038; Reconstructive Surgery.  2022.  <a href=\"https:\/\/journals.lww.com\/op-rs\/fulltext\/2022\/05000\/perioperative_considerations_for_antithrombotic.2.aspx\" target=\"_blank\" rel=\"noopener\">https:\/\/journals.lww.com\/op-rs\/fulltext\/2022\/05000\/perioperative_considerations_for_antithrombotic.2.aspx<\/a><\/li><li>Perioperative Management of Antithrombotics. American Academy of Ophthalmology, EyeNet.  2016.  <a href=\"https:\/\/www.aao.org\/eyenet\/article\/perioperative-management-of-antithrombotics\" target=\"_blank\" rel=\"noopener\">https:\/\/www.aao.org\/eyenet\/article\/perioperative-management-of-antithrombotics<\/a><\/li><li>Blepharoplasty (Eyelid Surgery): Details &#038; Recovery. Cleveland Clinic.  2025.  <a href=\"https:\/\/my.clevelandclinic.org\/health\/treatments\/8409-eyelid-surgery-blepharoplasty\" target=\"_blank\" rel=\"noopener\">https:\/\/my.clevelandclinic.org\/health\/treatments\/8409-eyelid-surgery-blepharoplasty<\/a><\/li><li>A Delicate Balance: Oculoplastic Surgery and Antithrombotic Medications. American Academy of Ophthalmology, EyeNet.  2022.  <a href=\"https:\/\/www.aao.org\/eyenet\/article\/a-delicate-balance\" target=\"_blank\" rel=\"noopener\">https:\/\/www.aao.org\/eyenet\/article\/a-delicate-balance<\/a><br><br><\/li><\/ol>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Are you using medication that thins your blood? Then it is important to report this with an eyelid correction. Below you will find an overview of the most commonly used blood thinners and platelet inhibitors, and what this means for your treatment. Which medication does this concern? Acetylsalicylic acid: Aspirin, Aspirin Cardio, Aspro, Ascal, and [&hellip;]<\/p>\n","protected":false},"author":6,"featured_media":9804,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[92],"tags":[],"class_list":["post-10300","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-eyelid-surgery"],"acf":[],"_links":{"self":[{"href":"https:\/\/kliniekhetbolwerk.nl\/en\/wp-json\/wp\/v2\/posts\/10300","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/kliniekhetbolwerk.nl\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/kliniekhetbolwerk.nl\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/kliniekhetbolwerk.nl\/en\/wp-json\/wp\/v2\/users\/6"}],"replies":[{"embeddable":true,"href":"https:\/\/kliniekhetbolwerk.nl\/en\/wp-json\/wp\/v2\/comments?post=10300"}],"version-history":[{"count":1,"href":"https:\/\/kliniekhetbolwerk.nl\/en\/wp-json\/wp\/v2\/posts\/10300\/revisions"}],"predecessor-version":[{"id":10301,"href":"https:\/\/kliniekhetbolwerk.nl\/en\/wp-json\/wp\/v2\/posts\/10300\/revisions\/10301"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/kliniekhetbolwerk.nl\/en\/wp-json\/wp\/v2\/media\/9804"}],"wp:attachment":[{"href":"https:\/\/kliniekhetbolwerk.nl\/en\/wp-json\/wp\/v2\/media?parent=10300"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/kliniekhetbolwerk.nl\/en\/wp-json\/wp\/v2\/categories?post=10300"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/kliniekhetbolwerk.nl\/en\/wp-json\/wp\/v2\/tags?post=10300"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}