Evidence map›Paper›PMID 40461841›Full record

SynthesisAesthetic plastic surgery2026

Management of Antiplatelet and Anticoagulant Therapy in Aesthetic Plastic Surgery: A Literature Review.

Federico Taraschi, Chiara Botti, Giovanni Botti

Abstract readSystematic ReviewReview
PubMed Publisher
In one paragraph

Synthesis in Aesthetic plastic surgery, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Federico TaraschiPlastic Surgery Resident, UOSD Chirurgia Plastica, Dipartimento per la Salute della Donna del Bambino e di Sanità Pubblica - Fondazione Policlinico Universitario "Agostino Gemelli" IRCCS, Università Cattolica del "Sacro Cuore", Largo A. Gemelli 8, 00168, Rome, Italy. federico.taraschi595@gmail.com.ORCID 0009-0005-5980-0920
Chiara BottiPlastic Surgeon in Private Practice at VillaBella Clinic, Via Europa, 55, 25087, Salò, BS, Italy.
Giovanni BottiPlastic Surgeon in Private Practice at VillaBella Clinic, Via Europa, 55, 25087, Salò, BS, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe perioperative management of anticoagulant and antiplatelet therapy in aesthetic plastic surgery is a critical challenge, especially with the increasing demand for cosmetic procedures among elderly patients. Currently, there is a notable lack of consensus in the available literature regarding the optimal perioperative management of these medications in elective aesthetic procedures.

methodsA systematic review of PubMed, Embase, and Cochrane Library databases was conducted up to September 2024 to identify studies addressing anticoagulant and antiplatelet therapy management in aesthetic plastic surgery. Inclusion criteria focused on studies related to perioperative management and bleeding risks in elective cosmetic procedures. Articles unrelated to aesthetic surgery or written in non-English languages were excluded.

resultsFrom 192 identified studies, 10 were included. Recommendations varied by procedure and patient risk. For high-risk surgeries like facelifts, anticoagulant cessation 48-72 h before surgery was advised. For low-risk procedures like blepharoplasty, continuation of antithrombotics was deemed safe in some cases, but consensus was lacking. DISCUSSION: The review highlights a lack of standardization in managing anticoagulant and antiplatelet therapies in aesthetic surgery. There is an urgent need for risk-based guidelines to ensure patient safety and minimize bleeding and thromboembolic risks.

conclusionThe management of anticoagulant and antiplatelet therapy in aesthetic plastic surgery remains uncertain. Given the elective and aesthetic nature of these procedures, patient safety should always take precedence. LEVEL OF EVIDENCE IV REVIEW: This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .

Indexed as

AnticoagulantsPerioperative CarePlastic Surgery ProceduresPlatelet Aggregation InhibitorsSurgery, PlasticHumansRisk AssessmentAnticoagulantsPlatelet Aggregation InhibitorsAesthetic surgeryAnticoagulant therapyAntiplatelet therapyBleeding riskCosmetic proceduresPerioperative management

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.