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Considering Mommy Makeover After a DVT, Am I Still a Candidate?

asked 6 months ago by Monique_Ready4Freddy's in Hammond, IN
Latest answer by Thomas Fiala, MD
Question viewed 347 times
Tags: blood clot, candidate

I am 31 years old, 5'2 and 150 pounds. Three years ago, I went to the hospital with chest pains and found out I was pregnant. A month later, my DVT was discovered.(Don't know why it took so long) I was on Lovenox throughout the pregnancy, delivered a healthy 8 lb. baby (C-section under general anesthesia, no complications), and had minimal scarring. I'm considering a Mommy Makeover, but my family is worried. Am I still a candidate for elective surgery having had a clot in the past?

14 answers to Considering Mommy Makeover After a DVT, Am I Still a Candidate?

Mommy makeover - abdominoplasty

I think your family will be more supportive if they realize that you had a C-section while on low molecular weight heparin so having an abdominoplasty with the same medication should be as safe or possibly safer. I have performed abdominoplasties on patients with histories of DVT using low molecular weight heparin prophylaxis and those patients' intra and postoperative course was no different than the average patient. The main concern would be to make sure you do not have a genetic... more

Aaron Stone, MD
Los Angeles Plastic Surgeon

MOMMY MAKEOVER AFTER DVT PROBLEMS

Yes all will be well and you risk small but there are steps you must take. First a visit to you internist and a workup to see how you are doing. Studies should be done to see if you have a tendency toward DVT. Clotting and general metabolic workup should be done. A plan needs to be established that may include Lovinox and other drugs. You surgeon and anesthesiologist need to talk and plan. You should do this staged and... more

George Commons, MD
Palo Alto Plastic Surgeon

DVT history and TT

For starters, I'd recommend that you see a hematologist - so they can figure out with careful testing if there was a particular reason why you had your first DVT. Some of these causes are worse than others - in that they have have a higher risk of causing major problems this time around. Then, I'd make a decision to operate depending on what the hematologist told us. If you are considered "high risk", we'd really have to think hard about whether it was a... more

Thomas Fiala, MD
Altamonte Springs Plastic Surgeon

Mommy Makeover After DVT

Mommy Makeover surgery - tummy tuck, breast reduction, and liposuction may be performed after a history of a DVT but only after a thorough workup by your internist. Your surgeon and anesthesiologist must also be in agreement as to type of anesthesia and DVT precautions including the use of low molecular weight heparin prophylaxis. I have performed tummy tucks on patients with histories of DVT's using the precautions stated above, without any problem. The components of the... more

Rondi Kathleen Walker, MD
Washington Plastic Surgeon

Mommy makeover

One risk factor for dvt (or vte: venous thromboembolism) is history of a dvt. In addition, general anesthesia, immobility, and length of surgery are other risk factors. You would likely benefit from seeing a hematologist (a doctor who specializes in blood disorders) prior to surgery. You may need to be placed on blood thinners during the post-operative period

Loren Schechter, MD
Chicago Plastic Surgeon

Mommy makeover

You are a high risk for deep venous thrombosis and pulmonary emboli with any surgery under general anesthesia. You will need a hypercoaguability work up, see a hematologist for that. If surgery is to be done you will need a venous duplex as well. After surgery, you will need to be on lovenox. Being on lovenox increases your risk of bleeding, especially in the surgical site. Abdominoplasty has a higher risk of deep venous thrombosis. In my practice you will not be a... more

Samir Shureih, MD
Baltimore Plastic Surgeon

Considering Mommy Makeover After a DVT, Am I Still a Candidate

Pregnancy does increase the chances of a blood clot but some people have a genetic predisposition to it. A full work up by a hematologist should be done to rule out anything that can contribute to it. If there are no other underlying risk factors, then a Mommy Makeover with post-operative DVT prevention with a short course of Lovenox can be done.

Julio Garcia, MD
Las Vegas Plastic Surgeon

lvcosmeticsurgery.com

Blood clots and tummy tuck risks

Yes, you can still have a tummy tuck provided that you inform your doctor of your past medical condition and all the appropriate precautions are taken to prevent it from happening this time around. You just have to be careful and follow all instructions to a T. This doesn't guarantee that nothing bad will happen but it certainly can do a lot to minimize the risk. Good luck.. I hope it goes well.

J. Jason Wendel, MD
Nashville Plastic Surgeon

www.mc.vanderbilt.edu

Blood Clot History and Cosmetic Surgery

Cosmetic surgery is optional surgery and the pros must outweigh the cons. The fact that you have had a DVT in the past increases your risk of recurrence. In my opinion you are not a good candidate for elective surgery. Dr. ES

Earl Stephenson Jr., MD, DDS
Atlanta Plastic Surgeon

Surgery in a patient with a DVT

Patient's with a history of DVT (deep venous thrombosis, blood clot) are potentially at increased risk of developing another blood clot and surgery can place patients at risk. I believe you could safely undergo the procedure, however a preoperative evaluation by a hematologist to aid in determining whether or not you have a predisposing condition which could be addressed to decrease your risk is appropriate. Staging multiple surgeries should be considered as well... more

Sean A. Simon, MD
Miami Plastic Surgeon

Mammy Makeover after Previous Clot?

Thank you for the question and pictures. It is probable that you will be just fine with surgery despite your previous history. Prior to surgery he should be evaluated by a hematologist to determine if you have any underlying “thrombotic” condition. If so you may be at higher risk for further problems. Regardless, your hematologist will be helpful in providing recommendations for your perioperative care. I would agree with the other surgeons who have posted that... more

Tom J. Pousti, MD
San Diego Plastic Surgeon

www.poustiplasticsurgery.com

Mommy makeover with past DVT

With the history of a past DVT you are at risk for a second and a full medical history and examination is needed to determine your risk 'score'. We do know that a longer operative time does increase your risk, so the mommy makeover for you might better be tummy tuck, and then breast lift at a later time. We would expect to keep you on lovenox for a week after tummy tuck. Best of luck, peterejohnsonmd.com

Peter E. Johnson, MD
Chicago Plastic Surgeon

Surgery after previouse DVT

You maybe able to undergo elective surgery after an episode of deep vein thrombosis (DVT) but you will need to be seen by a hematologist to access your risk of under going surgery and see if any preventative measures should be employed prior to surgery! Good Luck!

Tal T. Roudner, MD
Coral Gables Plastic Surgeon

Is mommy makeover safe with history of DVT

Having had a DVT in the past may or may not make you at increased risk during a mommy makeover. It seems that this was related to your pregnancy and you might not have other underlying risk factors. You would need to have a thorough hematologic work-up and medical clearance to make sure you do not have current high risk for DVT. If you are currently on anti-coagulation medicines, you would not be a candidate for elective surgery, but if you are not on these medicines, you... more