Article medically reviewed by Dr. Gavin Chan (MBBS, cosmetic physician, liposuctionist)
Templestowe Lower and Berwick Clinics
Dr. Gavin Chan has a background in intensive care, anaesthesia, and emergency medicine. Since 2004, Dr. Chan has provided cosmetic procedures, including anti-wrinkle injections, dermal fillers, liposuction, fat transfer, skin needling, and laser treatments. He is a doctor trainer for various dermal fillers and anti-wrinkle injections.
I had an open heart surgery 2 years ago and now taking blood thinners for life. Would you recommend a rhinoplasty surgery or the non-surgical one.
If you are taking anti-coagulants like warfarin, then the risk of bleeding in surgery can be increased. Often prior to surgery, warfarin will be ceased and replaced with a quickly ‘reversible’ agent like Clexane (injections). Clexane still anti-coagulates the blood, but at least it is much more easily reversed than warfarin. Nonetheless, the risk of bleeding is increased.
Non-surgical rhinoplasty or injectable fillers for the nose pose very little risk in terms of serious bleeding. They are injected with fine needles/cannulas into the nose which is much less traumatic than a surgical rhinoplasty. However, there are of course more limitations with what can be done with non-surgical rhinoplasty. Generally, injectable fillers are used to straighten the nose or elevate the nose by adding volume strategically. With a surgical rhinoplasty, bone/cartilage can be removed.