{"id":10310,"date":"2026-06-16T09:39:53","date_gmt":"2026-06-16T09:39:53","guid":{"rendered":"https:\/\/kliniekhetbolwerk.nl\/hormone-preparations-and-an-eyelid-correction-contraception-and-hormone-replacement\/"},"modified":"2026-07-13T04:42:07","modified_gmt":"2026-07-13T04:42:07","slug":"hormone-preparations-and-an-eyelid-correction-contraception-and-hormone-replacement","status":"publish","type":"post","link":"https:\/\/kliniekhetbolwerk.nl\/en\/hormone-preparations-and-an-eyelid-correction-contraception-and-hormone-replacement\/","title":{"rendered":"Hormone preparations and an eyelid correction: contraception and hormone replacement"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-post\" data-elementor-id=\"10310\" class=\"elementor elementor-10310 elementor-9687\" 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 the contraceptive pill, a hormone ring or patch, or hormone replacement during the menopause? These hormone preparations often contain oestrogen, and this is relevant to report with an eyelid correction because of a possibly increased risk of thrombosis. <\/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>Combination pill (oestrogen + progestogen), for example Microgynon, Marvelon, Yasmin<\/li><li>Hormone ring (NuvaRing) and hormone patch (Evra)<\/li><li>Hormone therapy for the menopause (HRT), oestrogen and\/or progesterone preparations, in tablet form or as a patch\/gel<\/li><li>Progestogen-only contraception (mini-pill, contraceptive injection, hormone coil); these contain no oestrogen and have a different risk profile<\/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\">Why is this relevant?\n<\/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<p>Hormone preparations that contain oestrogen increase the risk of thrombosis (a blood clot, particularly deep vein thrombosis and pulmonary embolism) [1,2]. This risk applies both to the contraceptive pill and to hormone therapy during the menopause [3]. <\/p><p>Surgical procedures already increase the thrombosis risk in themselves. With a combination of an elective operation and oestrogen-containing medication, some guidelines advise pausing this medication a few weeks before a major operation [1,4]. <\/p><p>An eyelid correction under local anaesthetic is a small, short procedure under local anaesthetic; the risk here is considerably lower than with major operations under general anaesthesia. Still, the use of oestrogen-containing medication is taken into account as standard in the risk inventory with cosmetic surgery [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-5a508c4 elementor-widget elementor-widget-heading\" data-id=\"5a508c4\" 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\">Points of attention<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-2a8206e elementor-widget elementor-widget-text-editor\" data-id=\"2a8206e\" 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>Oestrogen-containing contraception and hormone therapy increase the thrombosis risk, particularly in combination with other risk factors such as smoking, being overweight or prolonged immobility [1,2,3]<\/li><li>Progestogen-only products (mini-pill, contraceptive injection, hormone coil) do not have this increased risk, or have it to a much lesser extent<\/li><li>With a short procedure under local anaesthetic, such as an eyelid correction, the risk is limited, but is taken into account as standard [5]<\/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-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. Extensive medical history<\/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 ask about the use of hormonal contraception or hormone therapy, and about other risk factors for thrombosis, such as smoking, being overweight, or a previous thrombosis.<\/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. Risk assessment<\/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>For an eyelid correction under local anaesthetic, stopping hormonal contraception or hormone therapy is usually not necessary, given the short duration of the procedure and the fact that you are quickly mobile again [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-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. Extra attention with several risk factors<\/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 a combination of several risk factors (for example smoking and hormone use and being overweight), we discuss together whether extra precautions are desirable [1,2].<\/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. Mobilising after the procedure<\/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 advise not to remain lying still for too long after the procedure, and simply to move normally again as soon as you can.<\/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: with an eyelid correction under local anaesthetic, it is in most cases not necessary to stop the contraceptive pill, hormone ring or hormone therapy. Do always report the use, though, so that we can take this into account in the overall risk assessment. <\/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 a previous thrombosis or pulmonary embolism, without consultation with the treating doctor<\/li><li style=\"font-weight: 400;\" aria-level=\"1\">In the case of a combination of several serious risk factors for thrombosis<\/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<\/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 hormonal contraception or hormone therapy? Simply mention this during the intake consultation at Kliniek het Bolwerk, together with any other risk factors for thrombosis. <\/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>Hormonal therapies and venous thrombosis: Considerations for prevention and management. Research and Practice in Thrombosis and Haemostasis.  2022.  <a href=\"https:\/\/onlinelibrary.wiley.com\/doi\/full\/10.1002\/rth2.12763\" target=\"_blank\" rel=\"noopener\">https:\/\/onlinelibrary.wiley.com\/doi\/full\/10.1002\/rth2.12763<\/a><\/li><li>Oral contraceptives and hormone replacement therapy: How strong a risk factor for venous thromboembolism? ScienceDirect.  2021.  <a href=\"https:\/\/www.sciencedirect.com\/science\/article\/abs\/pii\/S0049384821001031\" target=\"_blank\" rel=\"noopener\">https:\/\/www.sciencedirect.com\/science\/article\/abs\/pii\/S0049384821001031<\/a><\/li><li>Oral contraceptives, hormone replacement therapy and thrombosis. PubMed. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/11486996\/\" target=\"_blank\" rel=\"noopener\">https:\/\/pubmed.ncbi.nlm.nih.gov\/11486996\/<\/a> <\/li><li>Combined oral contraceptive pill and surgery. GPnotebook \/ Primary Care Notebook.  2018.  <a href=\"https:\/\/primarycarenotebook.com\/pages\/surgery\/combined-oral-contraceptive-pill-and-surgery\" target=\"_blank\" rel=\"noopener\">https:\/\/primarycarenotebook.com\/pages\/surgery\/combined-oral-contraceptive-pill-and-surgery<\/a><\/li><li>Venous Thromboembolism following Elective Aesthetic Plastic Surgery: A Longitudinal Prospective Study in 1254 Patients. PMC. <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC4206918\/\" target=\"_blank\" rel=\"noopener\">https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC4206918\/<\/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 the contraceptive pill, a hormone ring or patch, or hormone replacement during the menopause? These hormone preparations often contain oestrogen, and this is relevant to report with an eyelid correction because of a possibly increased risk of thrombosis. Which medication does this concern? Combination pill (oestrogen + progestogen), for example Microgynon, Marvelon, [&hellip;]<\/p>\n","protected":false},"author":6,"featured_media":9816,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[92],"tags":[],"class_list":["post-10310","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\/10310","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=10310"}],"version-history":[{"count":1,"href":"https:\/\/kliniekhetbolwerk.nl\/en\/wp-json\/wp\/v2\/posts\/10310\/revisions"}],"predecessor-version":[{"id":10311,"href":"https:\/\/kliniekhetbolwerk.nl\/en\/wp-json\/wp\/v2\/posts\/10310\/revisions\/10311"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/kliniekhetbolwerk.nl\/en\/wp-json\/wp\/v2\/media\/9816"}],"wp:attachment":[{"href":"https:\/\/kliniekhetbolwerk.nl\/en\/wp-json\/wp\/v2\/media?parent=10310"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/kliniekhetbolwerk.nl\/en\/wp-json\/wp\/v2\/categories?post=10310"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/kliniekhetbolwerk.nl\/en\/wp-json\/wp\/v2\/tags?post=10310"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}