Blood loss during Breast Reduction?

I gave birth 3 months ago and lost a lot of blood, I had to have a blood transfusion because I was anemic.

If I lost a lot of blood during childbirth will I lose a lot of blood during a breast reduction? Should I be worried about getting an elective surgery if I'm anemic?

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8 answers to “Blood loss during Breast Reduction?”

A: There is minimal blood loss with breast reduction.

George J. Beraka, MD

Hi! If you are really anemic (hemoglobin less than 11), take iron for two months before having any surgery.  But a breast reduction is nothing like childbirth. When we do breast reductions in our office operating room in NYC, the typical blood loss is 4 ounces.

A: Excessive Blood loss is unusual during breast reduction surgery

Susan E. Downey, MD

Child birth is a very different situation than elective breast reduction. There are factors which might cause a woman to lose a lot of blood during delivery (problems with the placenta is one) that are never seen during breast surgery.  It is very unusual to lose a lot of blood during a breast... more

A: Two issues here

Scott E. Kasden, MD

First thing to do is see your internist or hematologist to ensure you don't have a clotting problem causing the excessive bleeding. Secondly, if that is ok, the breast reduction should not result in a lot of bleeding.  The issue for me is the status of your breasts.  This close to birth, you may... more

A: Blood transfusin from breast reduction is rare

David A. Robinson, MD

Blood transfusion for breast reduction surgery is very rare.  The fact you may be anemic from blood loss during child birth makes it prudent you obtain a blood work up from your primary care physician.  Discuss the results with him/her prior to having breast reduction surgery. You may just need... more

A: Do you have easy bruising or bleed spontaneously?

Richard P. Rand, MD

 If this was the only time you had a bleeding problem, you are probably fine.  A simple battery of blood tests of your clotting mechanism can also reassure you that breast reduction will be safe.  The surgery is mostly done with a cautery device so there is typically almost no bleeding.

A: Depends on the reason for blood loss

John P. Stratis, MD

Breast reduction surgery curently is a very low blood loss procedure. You should find out if there is anything wrong with your blood clotting system. If not you should not be a t great risk for excessive blood loss.  

A: Blood work-up might be in order

Robin T.W. Yuan, MD

The main question is why you had so much blood loss during childbirth? If this was not related to a systemic problem such as a coagulation disorder but more of a traumatic situation, then it is probably not going to impact your reduction. You should certainly correct your anemia before elective... more

A: Blood loss during breast reduction

Brent Moelleken, MD

3 months after childbirth may be too early to be undergoing a breast reduction since the breasts are still changing. With modern tumescent anesthetic techniques, the blood loss during breast reduction can be minimized.  When I was in residency, we routinely had patients autodonate blood.  Now,... more

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