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I Have a Protein S Deficiency and Would Like Breast Augmentation. Can I Still Have the Procedure?

asked 6 months ago by Dolcevita in Los Angeles, CA
Latest answer by Ronald J. Edelson, MD
Question viewed 258 times
Tags: candidate, protein

I've always wanted to increase the size of my breast permanently but recently found out I have clotting disorder ( protien s deficiency) . Would I still be a candidate for surgery, if so what questions should I be asking the surgeon?

13 answers to I Have a Protein S Deficiency and Would Like Breast Augmentation. Can I Still Have the Procedure?

Protein S Deficiency

Yes, you can have elective surgery with Protein S deficiency with careful planning. I recommend you see a surgeon who is comfortable with this and has done surgery on patients with Protein S deficiency before. It is a good idea to get instructions for a specific anticoagulation regimen --before, during, and after surgery--from a hematologist who can make arrangements for this if your surgeon doesn't feel comfortable doing so. Follow the directions to the letter... more

J. Jason Wendel, MD
Nashville Plastic Surgeon

www.mc.vanderbilt.edu

Protein S deficiency and breast augmentation

Unfortunately you are receiving many conflicting answers. Some have correctly stated that there is a 'clotting' risk and others have incorrectly commented on a 'bleeding' risk with this disorder. Like any busy physician, I have seen and cared for my share of patients with a variety of blood disorders. With a Protein S deficiency, you are more likely to clot, NOT more likely to bleed. It would be important to know what led to your diagnosis. A... more

Sean A. Simon, MD
Miami Plastic Surgeon

Blood dyscrasias and surgery

I have had my share of patients with blood clotting abnormalities. Commonly,they get a hematology work-up and with proper guidelines set by the hematologist the surgery can often be accomplished with little risk. if any.

Steven Wallach, MD
Manhattan Plastic Surgeon

Protein S Deficiency and Cosmetic Surgery

Hi there- With proper hematology management in concert with your surgery, you should be able to proceed. It is important for you to understand that your peri-operative risks will necessarily be higher than a patient without your problem, and you will need to accept this elevated risk. Plan carefully with your surgeon and hematologist.

Armando Soto, MD
Orlando Plastic Surgeon

I Have a Protein S Deficiency and Would Like Breast Augmentation. Can I Still Have the Procedure?

The be as safe as possible I would recommend in hospital surgery with your hematologist available in recovery or during surgery. This will add costs to the operation. But your safety is paramount.

Darryl J. Blinski, MD
Miami Plastic Surgeon

Breast augmentation in patients with bleeding disorders

Protein C and S inhibit the pathways involved in clot formation specifically at Factor VIII and Factor V. Therefore genetic deficiencies of these proteins means the patient makes more clot than normal (6 times more likely to do so than individuals with normal protein S levels) especially in the veins. Protein S deficiency can be hereditary or due to vitamin K deficiency, sex hormone therapy, liver disease or chronic infections. Inherited Protein S deficiency occurs in 1 in 500 people in the... more

Aaron Stone, MD
Los Angeles Plastic Surgeon

Blood Clotting disorder and plastic surgery

Protein S Deficiency usaually increases the risk fo bleeding, but it is not an absolute contraindication for plastic surgery or breast augmentation. Altimately, the most important test is a bleeding time test which not only checks your coagulation cascade but your overall ability to form clots and stop bleeding. A hematologist can perform a bleeding test as well as to check the severity of your protein s deficiency. If you do not bruise easily, don't have heavy periods, and don't... more

S. Sean Younai, MD
Beverly Hills Plastic Surgeon

Proteins S deficiency and breast augmentation

Hello, There are two things that should happen prior to getting a breast augmentation. You should get at least one and perhaps two hematologist evaluations to estimate your bleeding risk. Second, your plastic surgeon should perform the surgery in a bloodless manner under direct visualization with electrocautery. Your pocket will have to be made precise and you should be wrapped for 24-48 hrs afterwards. All the best, Dr Repta

Remus Repta, MD
Phoenix Plastic Surgeon

www.aaaplasticsurgery.com

Clotting disorder and breast augmentation

I recently saw a patient with exactly the same problem. Most hematologists would not clear you for an elective cosmetic procedure and, as inability to clot is a major issue in any operation, I would not be comfortable with operating on you. For my facial rejuvenation patients with clotting issues, filler and Botox are good alternatives. For augmentation, perhaps the state of the art will change going forward and offer you some alternatives. The important thing is to focus on staying healthy! more

Robert L. Kraft, MD
New York Plastic Surgeon

Lovenox

A short acting blood thinner may help minimize chances of an embolic event with small increased chance of hematoma. The amount and timing of treatment should be directed by a hematologist. Best wishes.

Mark D. Wigod, MD
Boise Plastic Surgeon

Protein S Deficiency and Breast Augmentation?

Thank you for the question. It is likely that you will be able to have the breast outpatient procedure performed. Prior to seeing a board-certified plastic surgeon I would suggest that you see your hematologist and obtain his/her “clearance” and perioperative advice in regards to the clotting disorder. This prior hematology consultation will be helpful to the plastic surgeons you visit and will expedite your ability to have the procedure done. When the time is right... more

Tom J. Pousti, MD
San Diego Plastic Surgeon

www.poustiplasticsurgery.com

Breast augmentation in clotting disorder

There are many different types of clotting disorders and you need to have your situation looked into further if you are considering having any surgery. Many questions need to be addressed. How do you know you have a clotting problems? Have you had problems with surgery before? Do you take aspirin or other blood thinners.? Your individual situation needs to be further elucidated to make sure you can undergo the surgery safely or what precautions may need to be taken.... more

Ronald J. Edelson, MD
San Diego Plastic Surgeon

Protein S deficiency and breast augmentation

A protein S deficiency makes it more likely for a patient to have a clotting problem during or after surgery such as a DVT or a PE. This is a serious issue. Before going forward with any elective surgery this issue should be discussed at length with a hematologist (a doctor who specializes in blood clotting issues). A hematologist should be able to provide a patient with this disorder with a plan to decrease the likelihood of an unwanted clot. Above all else, remember... more