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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Are you at risk....
Well its great that you even know about DVT and the risks. There exists guidelines to decide what type of treatment would be beneficial with respect to DVT. Some of the most critical markers are: length of surgery, prior hx of a clot, obesity and hx of smoking. Clearly if you have none of these risk factors prophylaxis of pressurized stockings during surgery as well as an early walking protocol will minimize your risks. The key is to have an open discussion with your surgeon to decide...
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DVT risk and mommy makeover
The longer a surgery is, in general, the higher the risk there is of developing a DVT (blood clot in the legs). This risk is associated more with tummy tucks then with other plastic surgery procedures. The risk is about 2% if you are low risk (you are thin which is favorable). You should have compression stockings and devices on your legs throughout the surgery which promotes your circulation during the operation-this keeps the risk down. Some patients may even need a...
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DVT risk in Mommy Makeover
I do not believe that the addition of a breast augmentation alone will substantially increase your risk of DVT. In most surgeons hands, this will add less than 1 hour to your tummy tuck procedure.
Although you are young and healthy, I recommend that you undergo a thorough preoperative workup for your elective cosmetic procedure. If all is well, sequential compression devices (SCD's) are placed prior to anesthesia being induced to further reduce your risk....
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Mommy makeover DVT
A mommy makeover is a breast rejuvenation and an abdominoplasty. There is some inherent risk for a blood clot in the leg with any procedure. There are several means to minimize this risk including pumps on the legs during the surgery, early ambulation after surgery and taking an aspirin several days after surgery. Your age and weight are also favorable for avoiding a blood clot.
All the best,
Tal Raine MD FACS
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Blood clot risk with surgery
Excellent question since safety should be your first priority when deciding on what plastic surgery procedure to have and who should perform it. Most patients having general anesthesia and operations longer than 1 or 2 hours probably form some blood clots in their veins from pooled static blood but the majority of these are clinically insignificant. The problem is when the clots become large, dislodge and travel to the lungs where they can be fatal. The risk for this happening is higher for...
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Los Angeles Plastic Surgeon
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Mommy Makeover DVT Risk Is Low With Judicious Operating Time and No Family or Medical History
It appears that you are young and healthy. The combination of a tummy tuck and breast augmentation is common and should probably take no more than about 4 hours. At your age with no medical or family history of thrombosis, your risks of DVT is very low. Adding on the time to do a breast augmentation should not increase your already low DVT risk, provided that the typical safety measures of sequential compressive devices of the lower extremities are used in surgery and early postoperative...
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Dvt risk is related to type of procedure and time in OR
There is no absolute rule for how long an elective procedure should take, ie, the limits to safety of an elective procedure. that being said, my general rule is to keep an elective surgical procedure under about 6 hrs. sometimes, including anesthesia, this extends to 7 hours or so. that being said, i have some very well respected colleagues who will operate for up to 12 hours or so on a patient at one sitting for elective purposes. i do not like to do this. it...
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DVT risk with combined procedures
A mommy makeover, which typically includes an abdominoplasty / tummy tuck and a breast lift and/or augmentation, is a very common procedure. The surgery generally takes 4 to 6 hours. As long as you are healthy, the surgery time is kept to a minimum, precautions are taken in the OR to help prevent clots / DVT, then the risk is low. However, it is impossible to predict with accuracy who will have a clot / DVT and who will not.
Good Luck.
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Mommy Makeover
The risk should be low, and the breast aug. takes only 45min. to an hour longer. Discuss this with your Board Certified Plastic Surgeon and they will direct your decision with you.
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