Is Breat Augmentation on Patient with Antithrombin III Deficencey Possible?

I am 38yrs old and have Antithrombin III deficiency with history of one clot over ten years ago. Over all I am in great health. My Hematologist has approved breast augmentation surgery with proper care and blood thinners. I have consulted with 4 different plastic surgeons and they have all refused. Is breast augmentation possible for me?

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5 Doctor Answers | Asked by smiledj in Huntsville, AL

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Breast augmentation with antithrombin III deficiency

I am sorry to hear that you have been refused surgery. I frequently encounter patients with clotting problems and am happy to operate on them as long as I have advice and support from a haematologist. I have perfomed much more extensive surgery than breast augmentation on patients requiring blood thinners and am surprised that you have been unable to find a surgeon who will take you on. My advice would be to keep trying and good luck.

Breast augmentation with blood clotting disorder

I can certainly understand the reservations that surgeons have regarding doing an elective, cosmetic procedure on a patient taking blood thinning medications. The risk of bleeding into the implant pocket is substantially higher.

Possible but risky

An antithrombin III deficiency is a medical condition where the clotting process is not controlled properly and can lead to unwanted clots. Obviously, if a blood clot occurs in a vital organ, or a clot breaks off an travels to a vital organ, serious injury or death can occur. Blood clots are often treated or prevented with blood thinners. Breast augmentation is an elective procedure. Since it is elective and not necessary, we don't want to take unnecessary risks... more

Cosmetic surgery and bleeding disorders

The short answer is yes it is. The long answer is blood clot formation is a complex process involving first the accumulation of cells in the blood called platelets to form a plug and then a number of proteins/enzymes also called clotting factors that act upon one another in a specific sequence one after the other like dominoes dropping called a cascade to form a mesh that reinforces the platelet plug. Antithrombin III is a protein in the blood that binds to thrombin or other... more

Is Breat Augmentation on Patient with Antithrombin III Deficencey Possible?

Sorry for your issues not only with the hematologic problem but in having implants. I recommend your hematologist find a boarded PSs at the hospital he works in to have your surgery done only in a hospital setting fort your safety. I also would use drains in your pockets. Yes the fees will double but safety first!