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Factor V Leiden Gene: Is a Tummy Tuck Still Possible?

asked 1 year ago by Isabelle44
Latest answer by Lisa L. Sowder, MD
Question viewed 470 times
Tags: blood clot, risk, safety

I am heterozygous for Factor V Leiden- Is there a protocol for pre or post operative management? I know there is a increase risk of blood clotting with this, and am wondering if there is a standard of care with these patients. Specifically for tummy tuck and liposuction patients. Thank you.

5 answers to Factor V Leiden Gene: Is a Tummy Tuck Still Possible?

+3

Factor V Leiden gene--safe tummy tuck is still possible.

Factor V Leiden is a genetically-inherited clotting disorder seen in about 5-6% of US and European Caucasians who are heterozygous (one copy of the abnormal gene), or 1 in 5000 (0.02%) of persons who are homozygous (two copies of the abnormal gene, one from each parent). People with one copy of this abnormal gene can form blood clots 4-8 times more commonly than the normal population, and people with two copies of this gene are 80 times more likely to form a clot than the general population... more
Richard H. Tholen, MD, FACS

Minneapolis Plastic Surgeon

www.mpsmn.com

+1

Blood clotting risk with coagulation disorder

You would need to have your hematologist work with your plastic surgeon.  I sometimes put my patients at higher than usual risk for blood clots on Lovenox.  This requires that the patient learn to give themselves injections and it involves extra careful attention to controlling any oozing during surgery, but I have not yet had any intraoperative or postoperative bleeding issues.  If I had you as a patient and you were anatomically a good candidate for the surgery and your... more
Lisa L. Sowder, MD

Seattle Plastic Surgeon

www.sowdermd.com

+1

Tummy tuck safety with medical problem like bleeding disorder

A tummy tuck and other cosmetic procedures can be done usually with minimal increased risk. I usually get medical clearance from my patients hematologist and let him quide me as to what extra precautions need to be done. Watch my video.
Edward J. Domanskis, MD

Orange County Plastic Surgeon
+1

Factor V Leiden Gene: Is a Tummy Tuck Still Possible?

I did not perform surgery  on a patient with Factor V leiden.I elected to refer the patient to the hematologist  for assistance and the patient decided not to proceed with the surgery after the consultation. So, as a good measure go first to your hematologist and let him/her guide you on the course of therapy prior to the surgery.
Erel Laufer, M.D.

Tampa Plastic Surgeon
+1

Factor V Leiden and Tummy Tuck

Dear Isabelle, I have operated on a number of patients with factor V Leiden. I usually ask for the opinion from a haematologist because, as you say, you need to be careful with the anticoagulation. But I have performed often quite major surgery with no adverse outcomes, so I am sure that you will be fine. Good luck.
Jonathan J Staiano, MBBS

Birmingham Plastic Surgeon

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