Can Having Enlarged Red Blood Cells Be Problematic for Tummy Tuck? Doctor Answers, Tips
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Can Having Enlarged Red Blood Cells Be Problematic for Tummy Tuck?

I just got a blood test done and all of my tests were negative. I am 5'8" tall, 149 lbs, and phsyically fit. However, the test did reveal that I have enlarged red blood cells. I am considering a tummy tuck. I am not an alcoholic but I do drink socially. My doctor told me to increase B-12 intake with a multi-vitamin or supplement. Is there a greater risk to my health if I undergo the abdominoplasty surgery and if so, what can I do now to prevent any injury?

5 Doctor Answers | Asked by scared2death in new york, ny
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Enlarged RBC's and Tummy Tuck

Enlarged red blood cells (increased MCV-mean corpuscular volume) can occur due to B-12 deficiency. This often occurs with alcoholics so I see why you have stated your drinking history and your surgeon has put you on B-12. If all other factors are normal, meaning the hemoglobin level, MCHC (mean corpuscular hemoglobin concentration), hematocrit (all women are somewhat low on this), platelet number and volume are all normal than I wouldn't worry too much. If your PMD is okay with it than... more
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Enlarged RBC's

Dear Scared Instead of asking us on this board this is a question you should be asking your plastic surgeon or every plastic surgeon you consult. Is this a congenital or hereditary problem with no sequelae or is it something requiring more workup? It would be appropriate to discuss this problem with your primary care doctor and possibly be seen by a hematologist. They would be best to answer. Good luck if you proceed with your surgery.
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Enlarged Red Cells May Call for Further Testing

You may need further tests and possibly other treatments. I agree 100% with Dr. Aldea...this is too specific and too important a question to be answered on an internet discussion board.

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Enlarged red blood cells should be worked up before Tummy Tuck

Hi STD, I keep seeing your posts. I REALLY think your surgeon, (the one you settled on, because you thought the others could be ripping you off) should answer this question. Red blood cells come in a variety of sizes; Some fall within a normal range of MCV (mean corpuscular volume) while others when affected by disease processes or shortages are produced either too small (MICROCYTIC) or too large (MACROCYTIC). Whenever we lose a lot of blood (heavy period, prolonged bleeding ulcer,... more
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Safety in tummy tucks

I think that the large red blood cells may be indicative of a certain type of anemia. This can be corrected by taking B-12 and vitamins. I have performed tummy tucks on many patients with alot of medical problems, most commonly anemia. I take patient safety very seriously and often will take additional steps to minimze risks. Of course as part of your evaluation I would discuss your care and surgical plan with your doctor after I have reviewed your lab work. Make sure tthat your plastic... more
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