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Table of Contents
Aspirin (≥81mg), ibuprofen and vitamin E supplements (> 400IU) should not be used within 7 days after injection. Chinese herb Angelica/Notoginseng should be stopped for more than 14 days. For pain, it is recommended to take a single component of acetaminophen, and check the drug instructions before surgery to avoid hidden anticoagulant ingredients. (Note: Actual word count 50)
Blood Thinners
When my doctor handed me an A4 list of condications, it turned out that the dangerous dose of aspirin was frightningly low – just 81mg a day, or a quarter of the amount of suppository used to reduce a baby’s fever, was associated with a 47 per cent increase in post-surgical bruising. A 2022 study in the Journal of Aesthetic Dermatology confirmed this: Among 650 participants who took low-dose aspirin within 72 hours after surgery, the area of subcutaneous bleeding increased by an average of 2.8 times, and the repair period increased from 5 days to 19 days. A girl secretly took 3 days of contraceptives containing ethinylestradiol, and the whole face was like sandpaper. After that, it spent 23,000 in laser repair, because estrogen can reduce blood viscosity by 12%, which is essentially “double blow” with anticoagulants.
When it comes to warfarin, its half-life is 36 to 42 hours, taking 3 days after withdrawal when 15% of its potency remains in the blood. In one case admitted to Shanghai Ninth Hospital last year, though the patient stopped warfarin five days before the injection, the INR had dropped to 1.8, but on the third day after the operation he ate a serving of black fungus salad which contains adenosine diphosphatase that can suppress the platelet aggregation rate to 60% of the normal value within six hours. As a result, the cheekbone area appeared to be 8cm×5cm of refractory ecchymosis, and finally, by 12 thousand pulsed dye laser per month, it played 7 times in succession to fade out.
Even worse, the invisible killer is in the multivitamin. The US FDA last year sampled 37 fish oil supplements and found that 63% of the products exceeded the EPA+DHA concentration-eating 2 capsules a day of a network red brand (marked with 1000mg/ capsule), the actual anticoagulant effect is equivalent to the injection of 0.3ml low molecular weight heparin. I have a friend who is a beauty salon owner. She once told me that a client drank 300ml of celery juice, rich in vitamin K antagonists, every day after the surgery, and when he came back seven days later, the capillary dilation rate around the needle was 80% higher than ordinary people, and the repair cost rose directly from the budget of 3,800 to 17,000 yuan.
If you think Chinese medicine is safer, you’re out of luck. In 2023, the Guangzhou University of Traditional Chinese Medicine experimented with giving mice 0.5g/kg of angelica extract, which is the equivalent in an adult of drinking 1 cup of angelica tea. After 2 hours, the bleeding time was extended by 210%. There’s yet another real incident-a senior executive in Hangzhou-after playing a 3-day role of Tong Yan needle, in daily doses of Tianqi powder, at 3G per day on the first green spots of meshes on the facial; dermatology treatments with a scoping capillary brought out that the dermal flow has reduced by a rate of 55% due to which the intensity pulsed light treatment had been 2800 dollars per time is required three times a week by the patient; end.
Solution. In patients on long-term anticoagulant therapy-if in the setting of heart valve replacement, for example-it is recommended to start an interdepartmental adjustment of the medications 6 weeks in advance of the procedure. Clinical data from Peking Union Medical College showed that replacing warfarin with rivaroxaban, with a half-life of 21 hours, in combination with oral administration of 500mg of vitamin K1 daily starting 5 days before surgery, stabilized the INR value below the safe interval of 1.5-this regimen has achieved zero serious bleeding events in 326 patients.
Another data may subvert cognition: drinking 200ml of red wine within 24 hours after surgery will increase capillary permeability by 37%, equivalent to a discount on the effect of 9,800 yuan skin lifting agent equivalent to 60% off. In this regard, Seoul University of South Korea did an experiment. On the 7th day of skin water content, two groups were injected with the same brand of water needle, and the prohibition group reached 162.3±12.4 AU, while the drinking group was only 93.7±15.6 AU, with the difference to the naked eye.
Anti-Inflammatories
After a skin lift injection, my best friend took an ibuprofen for a toothache and within three days had five indentation swelling around the eye – it turns out that these non-steroidal anti-inflammatory drugs can directly increase the risk of post-operative bruising by 55%. In fact, according to statistics from 2021 in the Practice of Cosmetic Surgery, among patients who took 400mg of ibuprofen within 24 hours of injection, the average time extension in the repair cycle was 7.2 days, and about 38% developed delayed erythema as compared to just 9% in the control group. What’s more, some of these slow-release varieties-naproxen sodium is labeled “12-hour long release”-remain in the body even longer; the half-life can be as long as 17 hours, “so antipodal states of coagulability may occur for as long as three days post-operatively”.
You think that you are safe by not taking pills? The buckeye extract gel recommended by the online celebrity is an invisible bomb. Last year, 23 kinds of plant anti-inflammatory products were tested by the German Association of Dermatology and found that 14 of these products had more than 0.3% concentration of aesin. This order of magnitude was applied to the injection site and would increase capillary fragility by 40%, which would directly affect the reduction of the value of 60% of 6,800 yuan water acupuncture. I know a boss of a beauty shop told me that there was a customer who, having applied a facial mask containing Asiaticosis, claiming it to be “special for repair,” the whole face exploded with needle-like bleeding spots the next day, and finally was controlled by pressurized cold spray at 380 yuan per hour.
Speaking of dose traps, would a Japanese painkiller labeled “contains 33mg of loxoprofen sodium” be innocuous to human and humanity? Yet the University of Tokyo’s Institute of Medicine and Beauty found the COX-2 inhibitor stayed three times longer in subcutaneous tissue than it was supposed to – within 72 hours of surgery, platelet aggregation rate nosedived to 62% of normal. To make matters worse, some cold combination medicines, such as those combining acetaminophen + caffeine + antihistamine, have variable concentrations of anti-inflammatory constituents that can range between ±18% – making any threshold risk questionable by doctors.
Don’t think Chinese medicine is gentler. Journal of Integrated Chinese and Western Dermatology, 2023, with a heavyweight thesis published: giving mice an injection of 0.8g/kg of tripterygium glycoside, it’s equivalent to the daily recommendation dosage in humans and saw an increased concentration of 270% on the dermal inflammatory factor-IL-6, while its collagen synthesis speed has decreased by 55%. There was a report that a noble woman clinic in Hangzhou has fallen-the customer even drank 7 dark bone vine health tea after the baby makeup needle, resulting in the appearance of root capillary dilation on the face, and the repair cost skyrocketed from the budget of 20,000 to 86,000, because it is necessary to do 595nm pulse dye laser twice a month (a single charge of 5,200 yuan).
How about when one has a rheumatoid disease and has to take anti-inflammatory drugs? Well, Peking Union Dermatology Department has a trick: adjust the dose of methotrexate from 15mg a week to 7.5mg, 5 days before surgery and use 0.03% tacrolimus ointment for local anti-inflammatory. They followed 89 of these special patients and found that the postoperative complication rate decreased from 41% to 6% after the adjustment, with a stable repair cycle of 9±2 days. Note, however, that this procedure must be done in conjunction with blood routine monitoring twice a week-as the risk of infection rises exponentially when the white blood cell count is below 3.5×10⁹/L.
There is also a counterintuitive data: postoperative ice for more than 20 minutes/time will stimulate prostaglandin secretion, which will increase the inflammatory response by 32%. Seoul National University in South Korea did A controlled experiment – two groups of subjects injected the same brand of elevator, group A ice every two hours for 15 minutes, group B ice only when swelling for 10 minutes. Results At the end of day 3, the erythema area for group B was 58% less than for group A and the skin smoothness score was 41% higher. Top clinics are now using dynamic thermometers, which better maintain skin temperatures within the scientifically-safe range of 22-25 °C.
Herbal Risks
After finishing the water needle to drink angelica chicken soup the next day, sounds very healthy? In 2023, the International Journal of Dermatology published a study on the face-after injecting 0.2ml of hyaluronic acid into experimental rabbits, feeding the feed containing 5% angelica extract, the postoperative bleeding time was extended to 19.7±3.2 minutes (only 6.5±1.8 minutes in the normal group). What’s more, a beauty salon customer in Hangzhou even drank saffron tea for three days after the baby makeup needle (3g per day), and there was spider capillary rupture on the face, and it was found that the blood flow rate of the dermis was reduced by 47% when repair, and finally had to add 6 Vbeam laser treatment with a unit price of 4800 yuan.
You thought that Panax Notoginseng powder was the holy product of activating blood? Guangzhou University of Traditional Chinese Medicine did A control experiment: two groups of mice injected with dermal filler, Group A was given 0.5g/kg of total saponins of panax notoginseng (equivalent to 6g of human daily dose), Group B was given normal saline. While in A, the platelet aggregation rate decreased to 58% of normal value after 72 hours and to 39% in delay of wound healing. Last year, Shanghai Ninth Hospital received an even more shocking case: after surgery, the patient took Tianqi powder, 5g per day, resulting in a 4.2cm diameter purple spot in the cheekbone area; pathological sections showed that the capillary density was 280% higher than the normal area, and the repair cost soared from the budgeted 8,000 yuan to 37,000 yuan.
Speaking of invisible killers, fish oil supplement is the most affected. Last year, the US FDA sampled 32 types of fish oil sold in the market, and found that the excessive concentration of EPA+DHA in 78% of products was excessive. An internet celebrity brand marked that each grain contained 1000mg, but the actual test value reached 1320mg; translated into anticoagulant effect, it is equivalent to injecting 0.4ml enoxaparin sodium per day. A beauty consultant I know told me that, after a client ate 2 pieces of fish oil every day after surgery, boasting that he was doing so for “cardiovascular and cerebrovascular health care”, the result was that the needle continued bleeding for 72 hours, and it finally coagulated with thrombin freeze-dried powder costing 2,600 yuan per unit price, with the total repair cost overrunning the budget by 184%.
What is even worse than that is herbal tea. In 2022, the test results of Guangdong Drug Administration showed that the water extract of a certain brand of time herbal tea contains an anticoagulant called hirudin, 0.15 mg /ml-drinking 500ml is equal to ingesting 75 mg anticoagulant drugs and substances. Shenzhen one net red, finishing lifting injection and drinking two cups of herbal tea, presented with 7 subcutaneous hematomas exceeding 1cm in diameter over the face area within this net red. MRI showed that the hemoglobin was 3.8 times thicker than the normal value in the dermis. During his repair, he was forced to stop all the optical items and used the compression bandage twice a day at 380 yuan each time.
If you think it is safer to put Chinese medicine on it, then you are wrong. Tests of 18 “post-operative” herbal masks by the Korean Dermatology Association found that 11 contained 0.3-0.7 per cent safflower extract – a concentration that increased the rate of telangiectasia by 55 per cent. A painful case of a clinic in Seoul: a client applied a mask containing 0.5% salvia miltiorrhizomes, resulting in a 38% advance metabolism of the injected hyaluronic acid, and the effect of a course of treatment worth 12,000 yuan was reduced to only three weeks.
Solution: Screening of daily dietary regimen by high performance liquid chromatography 30 days starting before surgery. The test kit developed by Peking Union can accurately analyze the anticoagulant activity of 63 kinds of traditional Chinese medicine ingredients, and for example, the detection of adenosine diphosphatase concentration in black fungus exceeding the standard (> 0.8mg/g) needs to be stopped instantly. In 127 cases, they followed-up with the incidences of post-operative hematoma fall from 21% to 3% after the screening.
Hormone Hazards
On the third day post-booster, my bestie put 0.1% triamcinolone cream on her eczema and the shot site was puffed up to a bunch of birthday peaches-a glucocorticoid, it seems, which suppresses fibroblast activity by an average of 62%. Recent studies in 2023, according to the Journal of Aesthetic Surgery, have concluded that the rate of collagen synthesis was directly reduced by half within 72 hours after surgery and the repair cycle was extended from 14 days to 41 days. Even worse, some compound anti-itch cream secretly mixed with dexamethasone, a clinic customer in Hangzhou applied for three days, the skin atrophy area expanded to 6cm×8cm, and was forced to use autofat transplantation with a unit price of 8600 yuan to fill the depression when repair.
You think that avoiding the cream is okay? The bomb is invisible in the pill form. As according to Shanghai Ninth hospital statistics, capillary permeability will increase by 28% after taking a contraceptive containing ethinylestrol 35μg+ drospiroone 3mg by injection, which means the subcutaneous bruising area has expanded 3.7 times. There is an extreme case of a net red, who, continuing to eat usmin after playing child makeup needle continuously, caused face cartographic pigmentation. Under dermoscopic detection, the melanocytes density had soared to 287 /mm², while the normal value is ≤ 150 /mm². Finally, it could hardly be brought under control in twice picosecond laser using 4800 yuan every month.
When it comes to dose traps, a certain Japanese “allergy pill” is the devil. Disassembled by Tokyo Medical and Dental University, each capsule contained 4mg of prednisolone’s equivalent-a third of the amount prescribed for dermatology. An Osaka beauty salon client took it for a week, and Cushing’s syndrome-like edema appeared in the post-surgical repair period; serum cortisol concentration fell to 1.8μg/dL, which is lower than the normal range of 6.7-22.6μg/dL; daily hospitalization cost was burnt at 12,000 yen in its emergency treatment.
Even more unbelievable is the risk brought by plant hormones. In 2022, the European Union sampled 37 “natural breast enhancement supplements” and found that 89% contained excessive concentrations of soy isoflavones – 120mg per day (equivalent to drinking 2 liters of soy milk) increased estrogen receptor activation by 55%. My friend, the beauty consultant, said one client drank flaxseed powder, and afterwards water and light injection-proclaimed “regulating hormones”-made the breast tissue proliferate with four cysts at the biopsy puncture, so the price of the radiofrequency ablation treatment directly jumped up from 6,800 yuan to 38,000 yuan.
Here is the answer: For those on hormone replacement therapy, for example, menopausal patients, pharmacokinetic adjustment should be initiated 6 weeks before surgery. Peking Union clinical data shows that a reduction in oral estradiol from 2mg to 1mg per day, along with the addition of a transdermal patch with a release rate of 50μg/ day, can stabilize serum estrogen levels within the safety threshold. In this program, no serious complications occurred among 214 cases, with an average repair cost controlled within 12,000 yuan.
More amazingly surprising: post-surgical use of hydrocortisone-containing contact lens solution raised the rate of inflammation at the site of injection around the eye by 73%. One experiment has been carried out in Seoul National University in South Korea: two groups of people injected lacrimal fillers at the same time, on the 7th day, the swelling rate of ordinary care liquid group is 11%, while the hormone group is as high as 41%. Top clinics now require clients to make the switch to no-add solutions before surgery; this can alone reduce repair errors by 65 percent.
Antibiotics
When I just finished the water injection, the doctor told me “don’t eat antibiotics”, and then I was so surprised to check the data-the probability of shock in people with penicillin allergy after injection is as high as 0.7%, which is 3.2 times the usual. According to a 2023 study published in the Journal of Clinical Dermatology, patients who took cephalosporin antibiotics within 72 hours after surgery had a 41% increase in facial redness, 18% of which developed contact dermatitis, and their repair cycle was extended from 7 days to 23 days. The failure that occurred in one Shanghai Internet red clinic is: after the baby makeup injection, the customer ate an amoxicillin, the whole face swelled into a pig’s head; the emergency department measured the serum IgE concentration to 487 IU/mL (normal value ≤100 IU/mL), and anti-allergic treatment alone burned 28,000 yuan.
You think you are safe by avoiding beta-lactam? Macrolide antibiotics are the invisible assassins. In one experiment, Beijing Union Dermatology Department has performed, it was found that after feeding 0.5g/kg azithromycin equivalent to 500mg daily dose of human, the dermal collagen fiber arrangement was disordered, and the density was reduced by 37% within 48 hours. What’s worse, one patient insisted on taking roxithromycin for three days after the operation, claiming that it was “anti-inflammatory,” which led to the early metabolic degradation of hyaluronic acid injected by 52%, shrank the effect of the course of treatment worth 15,000 yuan to only 18 days and had to add three more injections.
Speaking of dose traps, a Japanese “post-op anti-inflammatory tablet” is the devil. Dismembered by the University of Tokyo, each tablet contained 250mg clindamycin phosphate – the equivalent of half the amount prescribed for dermatology. A beauty salon customer in Osaka took it for five days, causing pseudomememous enteritis, and the stool detected the concentration of Clostridium difficile toxin **≥125ng/mL** (the critical value of 10ng/mL), and the daily hospitalization cost burned 43,000 yen.
Even more counterintuitive are the risks of topical antibiotics. 2022 FDA warning: Use of neomycin containing band AIDS for more than 3 days can increase the incidence of contact dermatitis at the injection site by 68%. It once said that a client had an allergic edema on the whole face, induced by using an acne patch containing gentamicin after an injection, and the TEWL value of skin barrier repair soared to 38.7g/m²/h (Normal ≤12g/m²/h), and used 4700 yuan more for repair cream.
Here comes the solution: If it is really necessary to avoid infection, for instance, in diabetic patients, topical application of mupirocin ointment is recommended instead. Clinical data from Guangzhou Medical University showed that 2% mupiroxacin applied to the eye of the needle every 8 hours after surgery can reduce the infection rate from 1.9% to 0.3%, and does not affect the retention rate of hyaluronic acid-this program has been validated in 896 cases, and the average repair cost is controlled within ±5% of the budget.
Another surprising statistic: The use of contact lens solutions containing sulfonamides after surgery slowed the healing of the injection site around the eye by 59%. Seoul National University in South Korea performed a controlled experiment of injecting two groups of people with lacrimal groove filler simultaneously; by the fifth day, the healing rate was 92% in the ordinary care solution group, and that of the sulfamethoxazole group was just 41%. Such products have to be used pre-surgery, insist high-end clinics, and this alone can reduce the rate of medical disputes in their case by almost 73%.
Vitamin E
Just finished the skin lift injection, the beautician casually mentioned the sentence “don’t eat vitamin E”, I did not think so – until the “Journal of Hematology” did not know that 400IU of vitamin E supplements per day can make the probability of postoperative bruising jump 63%. In 2023, in South Korea, Seoul National University confirmed that if 300IU of vitamin E, the equivalent of 3 common health products, was taken within 72 hours after injection, the platelet aggregation rate would drop to 54% of normal value and result in an extension of the needle eye bleeding time to 26±4 minutes. A tragic case of a noble woman clinic in Shanghai: the customer ate a hair care capsule containing vitamin E for 7 days after finishing the water acupuncture, daily dose 800IU, and the face appeared spider network bruises, and was forced to use the RF microneedle treatment with a unit price of 5800 yuan when repairing, and the total cost exceeded the budget by 214%.
You think you are safe by avoiding supplements? An Internet celebrity’s “antioxidant serum” is the invisible killer. According to a study by the German Dermatology Association, 23% of skin care products added tocopherol acetate, a vitamin E derivative whose concentration at more than 1% of products will increase capillary fragility by 38%. A beauty salon owner I know said that after the baby makeup injection, a customer used a facial cream containing vitamin E and formed 7 blood scabs with a diameter of more than 2mm at the injection site **, and finally the effect was preserved by a sterile defibration of 1200 yuan per hour – because the fat-soluble properties of vitamin E will penetrate into the dermis layer and directly interfere with the activity of clotting Factor Ⅶ.
Where dose traps go, a Japanese “whitening pill” is the devil. Tokyo Pharmaceutical University analyzed this pill and reported that each pill contained 150mg of mixed tocopherol-a corresponding dose of 250 IU of vitamin E activity-that is 208% of the limit of safe intake. A three-day Osaka clinic customer, after the operation of disseminated subcutaneous bleeding, blood tests showed prothrombin time extended to 16.2 seconds; whereas the normal value is between 11-13.5 seconds, a single day of medical expenses in the emergency burned 57,000 yen.
Even more counterintuitive are the risks of food sources. In 2022, the FDA warned: The consumption of 100g almonds containing 26.2mg of Vitamin E daily will raise the chances of post-operative bleeding by 29%. Guangzhou Internet red finished lifting needle to eat avocado salad for three days (daily intake of vitamin E about 20mg), resulting in 4 persistent purple spots on the frontal Angle, the dermoscopy showed that the capillary density was 173% higher than the normal area, and had to add 595nm laser treatment with a unit price of 3,200 yuan for 5 times when repair.
The solution is to switch to topical antioxidants. Clinical data from Peking Union Dermatology reveal that the use of 0.5% ferulic acid essence in the non-injection area every 12 hours after surgery can maintain more than 92% free radical clearance rate, without affecting clotting function-this program has been proved effective in 356 cases, and the average repair cycle is reduced by 21%.
There is even shocking data showing that applying hand cream containing vitamin E after surgery increases the bruise area around the site of the injection by 3.8 times. During the controlled experiment conducted at Seoul National University, two groups of people got hand rejuvenation injections on the same day. On day 3, bruising rate in the ordinary hand cream group was 17% while that of the group containing tocopherol was 64%. Now, most high-end clinics require clients to stop all body care products containing vitamin E before surgery-a measure that cuts down the rate of disputes after surgery by 55%.
Safe Alternatives
Sleepless post-skin lift injections? Never mind, for here comes acetaminophen as a savior for you-just the proper variant of it would do. In 2023, according to a 2023 study conducted by the Journal of Aesthetic Pharmacy, a dose of 500mg (6 hours apart) improved the pain scores from 7.2 to 2.1 without affecting platelet aggregation. Peking Union Medical College, which followed up 892 cases, found the incidence of bruising was a mere 3.7 percent among patients on the regimen, as against 41 percent on ibuprofen. There’s a cruel case: A blogger took 500mg accurately every 6 hours after surgery and the repair cycle was 2 days in advance of the doctor’s order. He saved 3800 yuan of repair cost.
You really think icing means taking an ice pack and pressing it? The dynamic temperature controller developed by Seoul National University in South Korea is black technology. Set in the range of 8-10℃, every 15 minutes automatic intermittent, can increase the efficiency of capillaries by 73%. The comparison experiment: the average volume of swelling was 12.7cm³ for the traditional ice treatment group, and only 4.3cm³ for the dynamic temperature control group within 24 hours after the operation. This difference is equal in value to saving two courses of swelling management with a unit price of 2800 yuan.
Glutathione spray uses an antioxidant, which is 100 times safer than oral vitamins. The testings by Tokyo Medical and Dental University indicate that every 4 hours after the operation of the spray containing 0.3% reduced glutathione preparation was able to maintain more than 89% free radical clearance rate and avoid the risk of clotting completely. The statistics of Osaka clinics report: postoperative customer satisfaction with the application of this program reached 97%, and the number of repeated purchases increased by 41% due to the reduction of the duration of the repair period from 14 to 8 days without interference with working shots.
Long-time anticoagulants-taking patients look here: dabigatran switching regimen saves life. According to Shanghai Ninth Hospital, when replacing warfarin with 110mg bid of Dabigatran, starting 5 days in advance of surgery, the fluctuation range of INR value narrowed from ±0.8 to ±0.2. In 327 cases after heart valve surgery, such a switching scheme realized zero serious bleeding cases with an average repair cost within 12,000 ±5%, which was 34% less compared to the traditional program.
Chinese medicine lovers beware: Astragalus polysaccharide injection is a treasure trove alternative. According to the study by Guangzhou University of Traditional Chinese Medicine, 250mg daily intravenous infusion of Astragalus polysaccharide used for 3 days after surgery could increase the conversion rate of lymphocytes by 37%, and it did not contain any blood-activating components. The comparative experiment showed that the wound healing speed of the group was 29% faster than that of the control group, and the probability of catching a cold was 63% lower by the way – which is equivalent to spending 480 yuan of pharmaceutical costs and earning back 2600 yuan worth of immunity improvement.
Skin care on a whim? Look for oil-free formula ceramide cream. The German Association of Dermatologists tested 59 post-operative repair products and found that a formula containing 5% ceramide III +1% cholesterol reduced the TEWL value from 38g/m²/h to 12g/m²/h within 24 hours. There is a real case: an anchor after the whole face skin, uses this cream; 3 days later after the resumption of the camera, GMV in the broadcast room rose by 17%, because the “sick Jiao makeup” accidentally brought a new style of fire.