Mommy Makeover: Q&A
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Mommy Makeover DVT Risk
I've already had a consult for a tummy tuck with hernia repair. My doctor said it would take between 2-2 1/2 hours but now I am considering having a breast aug as well. (Not sure if I need a lift with it) Anyway, my question is, how long would this surgery typically take and how much more of a risk am I for DVT or PE by combining procedures with longer operative time. I am 26, 117lbs, 5 ft, and healthy. Thanks in advance.
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19 Doctor Answers |
Asked by
lotsobabies
in mississippi
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RISK OF DVT
It appears from your history you are young and healthy without any prior history of DVT. In this type of scenario you only require perioperative preventative measures including compressive stockings and sequential compressive devices during your surgery. Early ambulation is very important in maintaining your circulation. Factors that increase your risk of DVT include a prior history, a family history, blood disorders where you have increased coagulation, BCP, Cancer,...
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Tummy Tuck and Breast Surgery
Thank you for your question.
The tummy tuck and breast surgery is a commonly performed combination of procedures - average operating time in my practice is 4-4 1/2 hrs. Of course, the longer the surgery, the higher the risk. Generally speaking, you should do well working with a board certified plastic surgeon and a board certified Anesthesiologist in a fully accredited surgery center.
I hope this helps.
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DVT risk factors
There's actually pretty good science on risk factors for DVT (look up the Caprini scale scoring chart for DVT risk in attached link). Since you are young, and not overweight, you would be in the low-moderate risk category, depending on factors like whether you take birth control pills, or not, and your family history.
While adding a breast augmentation wouldn't increase your risk significantly, there is also data that suggests the risk of anesthesia complications is...
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Type of anesthesia and avoidance of prone positioning are important to avoid a DVT
Very good question. By hernia repair, do you mean abdominal hernia? As in a hernia from previous abdominal surgery? This type of hernia is usually effectively repaired when the muscles are brought together at the time of a tummy tuck. There is some evidence that internal abdominal surgery such as a hysterectomy poses a greater risk of DVT when done at the same time as a tummy tuck, but not this type of hernia repair.
It is common to add on breast...
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Mommy Makeover and DVT Risk
There have been several studies on this exact topic of DVT risk in plastic surgery procedures. In fact, the American Society of Plastic Surgeons has a Venous Thromboembolism Task Force that has systematically reviewed this matter in detail. Multiple studies have shown the risk of a blood clot from a tummy tuck or related procedure is well below 1%. To help plastic surgeons select patients who may or may not need Lovenox (or some form of blood thinners to help prevent...
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Mommy Makeover DVT Risk
Although your posting indicates you are young and healthy, your plastic surgeon can assess your risk factors for DVT based upon your medical/surgical/medication history and family history. The length of the surgery is also considered in the decision making process to use medications to prevent DVT.
This is an important judgement call since ANY patient who I feel is at much higher risk for deep vein thrombosis is given the protection offered by blood thinners.
When a cosmetic...
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Mommy makeover is very, very safe in a great candidate like you.
Hi.
We would routinely treat your breasts and abdomen together and the risk of clotting is very low since you are young and thin. When the risk is higher, we still do it, but then we use blood thinners.
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Mommy makeover, tummy tuck
The risk of dot is definetly increased with a tummy tuck. It is unclear how much additional procedures would increase this. It would also be affected by things like smoking, bmi and the use of estrogen therapy
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Slightly more risk by adding breast surgery to a tummy tuck
Any surgery, especially longer procedures, may be associated with the formation or increase the chance of blood cloths in the venous system (DVT). It is important to discuss with your surgeon any past history of blood cloths, swollen legs, varicose veins or use of estrogen or birth control pills that may contribute to this condition. Air travel, inactivity or other conditions may increase the incidence of blood cloths traveling to the longs causing a major blood cloth that may result in the...
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DVT Risk and Tummy Tuck
As already pointed out, tummy tuck carries a risk for DVT. While you are not at high risk, the question of whether or not to treat you with a low-dose blood thinner as a preventative will be one you and your doctor have to make.
There are also several activities you can do that may help lower your risk, so be sure and get with your surgeon on this !
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