Developed DVT and Pulmonary Embolism, Too High Risk to have TT, Lipo, and BBL?
asked 7 months ago by anayad02 in houston,tx
Latest answer by Steven Wallach, MD
Question viewed 112 times
Tags: female, candidate, embolism, risk
With my first pregnancy at the age of 19 I developed a DVT and pulmonary embolisim. I was put on Lovenox shots. With the following 2 pregnancies I was also put on lovenox for the duration of the pregnancy and 8 weeks post partum as a preventative measures. I have been to a hematologist and taken multiple testing for blood disorders but nothing was found. Can I get a tummy tuck and lipo for fat graffting to buttocks or am I too high risk?
4 answers to Developed DVT and Pulmonary Embolism, Too High Risk to have TT, Lipo, and BBL?
+1
DVT and cosmetic surgery
I have performed surgery on patients with a similar condition, but they required a work-up by their hematologist first. The hematologist ok'd their surgery and gave recommendations for prophylaxis
+1
Previous Bloos Clots (DVT) and Pulmonary Embolism GREATLY raise the Risk of TT, Lipo, and BBL
Whiled it is reassuring to know that a full workup has failed to find a congenital disorder causing increased clotting your are at a VERY high risk for a repeat blood clot which may be fatal. A previous episode of blood clotting and embolization to the lungs raises your risk for another such event by over 15 times!
Moreover, the risk of blood clots formation with possible clots going to the lungs depends on the duration of the surgery and subsequent immobility. Tummy Tuck, liposuction...
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+1
Cosmetic surgery with a history of blood clots
One of my patients had a history of blood clots in the deep veins of his legs. With the aid of his internist he received low molecular weight heparin around the time of his abdominoplasty and sailed through surgery without complications.
You are at greater risk of having another DVT since you had one in the past even though that one was originally related mechanically or hormonally to the pregnancy. However with the proper precautions taken around surgery such as taking molecular weight...
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Aaron Stone, MD
Los Angeles Plastic Surgeon
Los Angeles Plastic Surgeon
+1
High risk for DVT/PE
You are correct in that you are at high risk for repeat DVT/PE especially since that is the biggest risk of a tummy tuck. You should very carefully evaluate how much you really need these entirely elective procedures vs the fact that you could possibly not survive and seek many opinions from real plastic surgeons and trained vascular specialists. It may well be that diet and exercise is going to be the best plan for you.
