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?
C-Section Vs Tummy Tuck Risks?
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Tummy tuck vs. C section risk.
Thank you for your questions.
I'm commonly asked which hurts more a C section or a tummy tuck ?
In general I think the tummy tuck will hurt slightly more because in a full tummy tuck the muscles are tightened from the bottom of the rib cage all the way to the pubic area, whereas in a C section most of the surgical focus and suturing is just in the lower abdomen.
C-section has its own inherent risks when dealing with and suturing a uterus. I really can't comment on those additional risks because most of what I do, most of what plastic surgeons do lies outside the abdominal wall.
Unfortunately, any surgical procedure has the risk of blood clots and pulmonary emboli. Fortunately, these risks are relatively small. Many plastic surgeons provide prophylaxis to minimize the risks of the venous thrombosis. You may wish to discuss how your plastic surgeon approaches these issues.
One of the theories about why Venus blood clots occur during tummy tuck is that the intra abdominal pressure is increased when the abdominal wall muscles are tightened. This increase in pressure slows down Venus return from the lower extremities. When Venus flow is slowed down there can be a higher incidence of a blood clotting.
During pregnancy an enlarged uterus can also compromised Venus return from the lower extremities leading to stasis and even varicose veins.
Fortunately, while these things are true the risk of deep vwnous thrombosos in either surgery is relatively small. Unfortunately, the risk is not zero so you must be comfortable in accepting these risks before you embark on surgery.
Lastly, I feel that it is very important for anyone who undergoes the surgeries to have support at home. Walking clearly improves the situation and minimize the risk of lower extremity DVT. I find that most of my patients do better when they have someone at home to help them in and out of bed and encourage them to ambulate.
Best wishes as you decide whether to embark on your surgery.
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Risk of complications : Tummy Tuck vs C-section
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.
Tummy tuck is a big surgery, so keeping yourself mobile is extremely important. The risks are about the same.
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Tummy tuck risks
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.
Tummy Tuck Risks Lower
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...
C-Section Vs Tummy Tuck Risks
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.
Risk of Blood Clots with C-Section and Tummy Tuck
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.
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.