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C-Section Vs Tummy Tuck Risks?

Are the risks from a c-section and a tummy tuck equal? I mean do you have the same level of risks with either procedure. I have had 3 c-sections and with each one fear blood clots so I make sure to wear my boots, get up, walk walk walk.. But with my tummy tuck my fear is greater is a tummy tuck a greater risk for clots compared to a section?

Doctor Answers (8)

Risk of complications : Tummy Tuck vs C-section

+2

The risks are higher in both than other operations.  Sequential compression boots and early ambulation should be encourage no matter what operation you have.  The big issue is whether post operative anticoagulation should be used.  Your doctor can over the advantages and disadvantages with you on that issue.


Houston Plastic Surgeon
5.0 out of 5 stars 63 reviews

Hello

+1

 

Tummy tuck is a big surgery, so keeping yourself mobile is extremely important. The risks are about the same.

 

Stuart B. Kincaid, MD, FACS
San Diego Plastic Surgeon
4.5 out of 5 stars 7 reviews

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Tummy tuck risks

+1

Venous thrombosis, or clots, is the complication we worry about the most with a tummy tuck.  The risk overall is low, and all precautions should be taken to reduce the risk.  These include the use of compression stocking during surgery as well as early ambulatory.  I do not advocate the use of blood thinners in tummy tucks.

Ronald J. Edelson, MD
San Diego Plastic Surgeon
5.0 out of 5 stars 11 reviews

Tummy Tuck Risks Lower

+1

Without getting overly technical, because of all the hormonal and physiologic changes that occur with pregnancies, a patient that undergoes a C-section has a higher potential risk of blood clots in the lower extremities than a patient that has a tummy tuck.  During your tummy tuck you should be fitted with sequential compression boots and well hydrated.  Afterwards, you should drink lots of fluids, wear compression stockings, walk as much as possible, rest with your legs elevated above your heart and exercise your legs by flexing your feet even when you are resting.

If you have any predisposing factors to clotting that you haven't mentioned, your surgeon may also use anti-coagulation therapy during the peri-operative period.  Good luck...

Eric Sadeh, MD
Manhattan Plastic Surgeon
5.0 out of 5 stars 24 reviews

Blood clot risks with abdominoplasty are low, just as they are with C-section. But still possible!

+1

C-section patients have just had their pelvic veins decompressed from uterine pressure during the pregnancy. The gravid uterus causes lower extremity venous dilation (this is why varicosities and hemorrhoids occur more frequently with pregnancy), and after the C-section, the venous blood flow can be more sluggish, activities may be temporarily reduced while recovering, and hydration may also be diminished, especially with breast-feeding. All leading to an identifiably slightly higher risk for blood clots.

Tummy tucks do not involve a gravid uterus or pressure on pelvic vessels, but tightening the abdominal wall can cause increased intra-abdominal pressure that decreases venous return slightly, causing a identifiably slightly higher risk for blood clots.

But to try to compare these would require statistical analysis, and the risk-reduction/prevention is a topic of vital concern to plastic surgeons and gynecologists alike, and much more pertinent!

Hydration, compression stockings, early ambulation, and intra-operative sequential compression boots or leggings are all things most if not all plastic surgeons utilize to reduce risks as much as possible. Some surgeons will also add anticoagulant therapy (especially in higher-risk patients such as Factor V Leiden, or previous blood clot patients), but that is done on an individual basis taking into account and weighing the pros and cons of increased bleeding and re-operation risk! (2 operations doubles the "whatever" risk of blood clots, so this may actually not be a wise decision).

Bottom line here: talk to your surgeon and listen to his/her advice. But nothing is gained by being irrationally fearful. Yes, blood clots rarely occur with tummy tuck. But so do traffic accidents on the way to your tummy tuck. Wear your seat belt and drive defensively. Wear your compression booties, TED hose, stay hydrated, ambulate early, and "pump" your feet while in bed or chair to keep your blood moving. You will then have done the best possible, and you should do just fine! Best wishes! Dr. Tholen

Richard H. Tholen, MD, FACS
Minneapolis Plastic Surgeon
5.0 out of 5 stars 125 reviews

C-Section Vs Tummy Tuck Risks

+1

There are numerous risk factors for blood clots after surgery. These include surgery lasting greater than 60 minutes (therefore all TT's), patient age over 40, use of hormone replacement therapy, family or personal history of clots. 

You can google "Caprini score" to get a worksheet and tabulate your score, which your surgeon can use to guide therapy. Anyone having a TT should have sequential compression devices during surgery, and have early ambulation encouraged. The score will help decide if you should recent an anticoagulent, Lovenox, which is given by self injection daily for a week to decrease the risk of clotting. 

I am not sure that there is comparison data. Tummy tuck (and other skin reduction operations)  is the riskiest common plastic surgery procedure in terms of clotting risk.  C-sections are riskier than vaginal delivery, such that compression devices are urged for all c-section mothers during the birth and until they are walking. 

Thanks for your important question. When you ready for an in person consultation, RealSelf has listings of surgeons in your area. You should consider cross referencing the listings from the The American Society of Plastic Surgeons (plasticsurgery dot org). A listing in the ASPS website assures you that your surgeon is not only board certified,  but also is a member in good standing of the major plastic surgery organization in the U. S.  If your surgeon is not familiar with the Caprini score, look for another opinion. 

Thank you for your question, best wishes.

 

Jourdan Gottlieb, MD
Seattle Plastic Surgeon
4.5 out of 5 stars 31 reviews

Risk of Blood Clots with C-Section and Tummy Tuck

+1

It is hard to give you a "percentage" of which procedure is more risky for blood clots without knowing a bit more about you. Pregnancy in general has a risk of like a fourfold increase in thromboembolism (blood clots) from baseline or non pregnant patients, so C-Sections in general are probably a bit higher risk. It also depends on your genetics- if there are family members with history of blood clots, and your BMI (body mass index).  All plastic surgery procedures I perform are done with maximum "blood clot" preventive measures, such as SCDs (sequential compression devices), limiting time under anesthesia, and even using lovenox (preventive "blood thinner" medication) when necessary.  I would recommend you seek out a board certified plastic surgeon and you will find that any of us will absolutely NOT compromise on your patient safety.

James F. Boynton, MD
Houston Plastic Surgeon
4.5 out of 5 stars 19 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.