Breast Implants in Someone with Von Willebrands?

I’m 20 years old & want to get breast implants. I am about an AA now and want to be a full B. I have Von Willebrands type I. I have 2 tattoos that cover my sides & had no issue with them healing. I also work as a Vet Tech & have had dog/cat bites/scratches MANY times and have had no problem with them. I want to know if there is a dr that would do my surgery. I am in NC and have had 2 dr turn me down even though my hematologist said I should be fine it just isn’t ideal.

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AA to B cup bleeding candidate Von Willebrands

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3 Doctor Answers | Asked by ABC903 in NC

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Breast augmentation in patients with bleeding disorders

Von Willebrand's Disease is a form of hemophilia which involves defects on chromosomes other than the sex chromosomes X and Y. The bleeding tendencies are usually less in these cases than regular hemophilia but the severity of the bleeding disorder is highly variable. These patients have difficulty forming the initial platelet plug. The treatment of choice for mild von Willebrand disease is Stimate® or desmopressin acetate (DDAVP), a nasal spray that stimulates the body to increase... more

Breast Augmentation and Bleeding Disorders

Hello, I understand why your docs said no to you, it is a risk, even with ddAVP. I have done about a dozen breast augmentations on patients with VWD type 1, and I did have a hematoma on my second patient requiring a surgery to remove the blood three days later. Since then, I've been giving a second or third dose 24 hrs after surgery, something not all hematologists recommend. Maybe you can go to one of the Duke plastic surgeons (preferably one that is experienced in... more

Breast Augmentation with Potential Bleeding Disorder

One of the risks with any surgery is bleeding and breast augmentation is no different. There are several types of vWD. Most patients with type 1 only need treatment with a medication called DDAVP, while types 2 and 3 frequently require transfusions to manage bleeding problems. I would recommend that your surgeon(s) coordinate with your hematologist. Together they will be able to gauge your surgical risk and advise you as how best to proceed. This is potentially... more