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Low Platelets and Rhinoplasty Surgery

asked 1 year ago by parades in jersey city, nj
Latest answer by William Portuese, MD
Question viewed 470 times
Tags: bleeding, platelets, safety

I have low platelet count that fluctuate between 40,000-86,000 and would like to know if it's safe for me to undergo rhinoplasty. I do not experience any symptoms related to low platelet. Thanks

12 answers to Low Platelets and Rhinoplasty Surgery

Rhinoplasty with Low Platelet Count

I have done rhinoplasties on patients with blood disorders after they were cleared by a hematology specialist who will evaluate more than just a low platelet count. Most individuals are able to have their surgery.

Richard W. Fleming, MD
Beverly Hills Facial Plastic Surgeon

www.bevhills.com

High chances of bleeding after rhinoplasty

Dear rhinoplasty patient from New Jersey, This matter should be investigated by your surgeon and a hematologist. Slightly low platelet count is not a contraindication to rhinoplasty, but your platelets are very low and this may require some pre treatments and close observation in a hospital. Good luck

Kevin Sadati, DO
Orange County Facial Plastic Surgeon

www.galleryofcosmeticsurgery.com

Rhinoplasty and patient with low platelets

A low platelet count can lead to severe nosebleeds after a rhinoplasty procedure. The nose is quite vascular and has a propensity to bleed in some patients. Compounding the bleeding issue with a low platelet count would increase the potential for a severe nosebleed. If you are serious about pursuing a rhinoplasty consider consulting your hematologist about a platelet transfusion. A platelet count of 50,000 is too low to undergo a rhinoplasty without risk of severe bleeding complications.... more

William Portuese, MD
Seattle Facial Plastic Surgeon

www.seattlefacial.com

Low Platelet Count and Rhinoplasty

Probably not a great idea, until it is fully investigated by your Rhinoplasty surgeon as well as, and most importantly by a Hematologist. Although the number of circulating platelets is important, it is their ability to FUNCTION properly that is of utmost concern. Your hematologist will check a bleeding time to help fully evaluate. Also, it will depend on the extent of surgery, per your Rhinoplasty surgeon, whether it is advisable to proceed. Some of the manuevers we use generate more... more

John Philip Connors III, MD
Atlanta Plastic Surgeon

A reputable hematologist may advise you on your risk of hemorrhage after Rhinoplasty Surgery.

You ask an excellent question that needs to be addressed before considering Rhinoplasty Surgery. If you're completely asymptomatic, then you may not need any intervention. If you have a history of easy bleeding or bruising, or if you've had excessive bleeding after a dental extraction or prior surgery, then you'll likely be at high risk for a bleeding complication after your nose job. Nasal bleeding is the most common complication associated with rhinoplasty surgery in... more

Eric M. Joseph, MD
West Orange Facial Plastic Surgeon

www.ericmjoseph.com

Advisability of having Nose Surgery while having a LOW Platelet Count

For us to be able to form a stable clot and stop bleeding after an injury or surgery we MUST have a certain number of FUNCTIONING platelets. There are certain disorders which are associated with a lower number of platelets (either because they are not being produced or are broken up as by a large spleen). At certain levels, spontaneous bleeding may be seen (which is particularly dangerous if it happens to be in the brain, or intestine for example). NO ethical surgeon would take a risk of... more

Peter A. Aldea, MD
Memphis Plastic Surgeon

Low Platelets and Nasal Surgery

My not be advisable. The nose has a very robust circulation and having fluctuations in your platelet count may not be the best situation for a potential rhinoplasty patient. Get several opinions from board-certified plastic surgeons. Dr. ES

Earl Stephenson Jr., MD, DDS
Atlanta Plastic Surgeon

Bleeding and rhinoplasty surgery

The nose is one of the most vascular or well supplied areas of your face. Even if you clot normally, you may need the extra platelets to prevent a delayed nose bleed after surgery. I would recommend that you obtain the medical clearance of a hematologist or blood specialist after your have consulted with your rhinoplasty physician about what needs to be done. I hope thisi information helps.

Scott Trimas, MD
Jacksonville Facial Plastic Surgeon

Low Platelets and Rhinoplasty Surgery

As my esteemed colleague Dr Penderville states, and I agree. Get a full hematology clearance in writing. From MIAMI Dr. Darryl J. BLINSKI

Darryl J. Blinski, MD
Miami Plastic Surgeon

Rhinoplasty in the setting of Low Platelets

I agree with the other Surgeons on this topic. Asymptomatic thrombocytopenia (low platelets) will not necessarily preclude you from Rhinoplasty, but surgery should only be planned after consultation with your Hematologist.

Stephen Prendiville, MD
Fort Myers Facial Plastic Surgeon

www.drprendiville.com

Rhinoplasty - low platelets

Your surgeon would probably recommend you see a hematologist prior to your surgery to investigate the cause of your low platelets and also make recommendations on how to make your surgery as safe as possible. You may need to receive platelets per-operatively. Regardless, I would make sure you discuss these issues in detail with your plastic surgeon. Dr. Cat Begovic M.D.

Catherine Huang-Begovic, MD
Beverly Hills Facial Plastic Surgeon

Maybe

This is something you, your plastic surgeon and hematologist need to discuss before contemplating surgery. I have operated on people with low platelets, but do so with a hematologists consultation.