History of thrombosis: can you have facial harmonization?

"I had a thrombosis two years ago and I take a blood thinner, can I have facial harmonization?" The question seems simple, but it involves two different fields: the vascular disease, which belongs to the physician, and the aesthetic procedure, which belongs to the HOF professional. This page organizes what to ask, when to request clearance, and how to avoid the most dangerous mistake, which is telling the patient to stop the medication on their own.

Why does a history of thrombosis matter?

Thrombosis is the formation of a clot inside a vessel, most often in the veins of the legs, but it can occur elsewhere. People who have had one are usually under follow-up, and many take a blood thinner for a period or continuously. For the HOF professional, what matters is: whether the patient has active or controlled disease, whether they use any drug that alters coagulation, and what the physician advises.

Blood thinner use raises the risk of bleeding and, in the face, of hematoma and ecchymosis after injectables, as discussed in blood thinners and injectable procedures. That risk is about bleeding, not about a new thrombosis caused by the procedure.

What to ask in the medical history

The medical history must be complete and documented. The main points:

Also ask about family history, recent surgeries, and long trips, which are known risk factors for thrombosis. If the patient does not know the name of the drug, ask them to bring the prescription or the box to the next visit.

When to request medical clearance

In general, when there is a recent thrombosis, active treatment, blood thinner use, or doubt about how well the disease is controlled. Clearance is a document from the treating physician, confirming that the patient is fit to have the procedure and possibly advising about the medication. Keep it in the patient record, and document the conversation. The final decision to proceed, postpone, or refuse remains with the HOF professional, following the rules of their professional council in Brazil.

What changes in the injection plan?

There is no single rule, and the plan depends on the type of procedure, the area, and the patient's risk. In general, the professional may consider:

1. Postponing non-urgent procedures while the disease is not stable.
2. Choosing the minimum necessary and splitting into smaller stages, to reduce the risk of hematoma.
3. Avoiding areas with a higher bleeding risk or worse tolerance for bruising, such as the lips and under-eye area, when the patient has important events coming up.
4. Telling the patient to report any increase in volume, pain, or change in color.
5. Scheduling a follow-up to check progress.

What about the risk of a new thrombosis?

The HOF procedure is not a known cause of deep vein thrombosis. The factors most associated are immobility, surgeries, certain hormones, diseases, and predispositions. Even so, the patient should keep up with follow-up and the physician's guidance, and the professional should watch for signs of vascular complications of the face, which are of a different nature and were discussed in vascular occlusion.

If after the procedure the patient has pain, swelling, or redness in one leg, shortness of breath, or chest pain, they should seek emergency care immediately. This is not caused by the facial procedure, but the advice is worth giving, especially to those with a history.

Records and projection

Document the medical history, the clearance, and the consent. The informed consent form should mention the higher risk of hematoma. If the patient wants to see the plan while the clearance is pending, Harmy lets you plan: mark the area, set the volume in ml, and show the projection as an illustrative simulation, not a promise of results.

Save the session in the patient's history and pick the plan back up when the report arrives. In the meantime, the patient has aligned expectations and no rush to decide.