Anemic--safe to have Smart Lipo with a 10.3?

When you have anemia, you don't tolerate surgery as well as when you don't have anemia. That means a higher risk for problems during and after surgery. Some of these problems have nothing to do with the amount of blood lost or not lost during surgery. Wondering what a month's worth of iron supplements will do for your anemia is not a matter of guesswork. Rather, your hemoglobin test is repeated to see if your hemoglobin improved...or worsened. Smart lipo or most lipo done by experts in lipo doesn't usually involve significant blood loss. However, true experts don't "roll the dice" with your health when getting you ready for cosmetic procedures. Perhaps, you should get your fibroid problem fixed first.

Technically, Liposuction should be safe with that Hgb level, but I agree with your treating physician that the best thing to do is supplement an recheck the hemoglobin in one month. If you are making strides in terms of regaining hemoglobin, you may even consider postponing it longer until you are up to a normal hemoglobin level.

these are the types of questions you should be reviewing with your doctors. above 10 is safe but if you go below you can cause issues for yourself. you need to prepare. please speak to your physician. we do this frequently in our practice without issues.

my whole practice is doing lipoabdominoplasty, or at least liposuction with internal heating (which is not the gold standard for skin tightening with body contouring).

the smaller you are before liposuction the more contouring you can get from the procedure. most of my liposuction patients get pre and post surgical optimization with hormonal therapy (see link to help boost their weight loss before surgery and help them heal after).

You need a formal evaluation by an expert in body shaping and contouring to determine what is best.  Traditional liposuction awake and smart liposuction are old methods and do very poorly for tightening skin or significant skin tightening or contouring.  Small problem areas can be improved slightly by these methods.  The best in body contouring not only removes fat with energy devices like VASER ultrasound but also internally heat the skin with radio-frequency devices such as J PLASMA/RENUVION, InMode BodyTite, ThermiRF to heat the under surface of the skin and tighten it at the same time as fat removal. These combinations are called 4D HIDEF VASER contouring and can only be done by a well . trained body contouring specialist. At the same time fat should be harvested, PRP and stem cells added and injected into muscles or indentations/cellulite to get body shaping and contouring.  This is known as a Brazilian butt lift when you inject the fat to the buttock for contouring and lifting, but fat can also be used in areas such as the chest/breast, arms/shoulders, calves and face.  Cellulite should also be treated with cellfina, sculptra, subcision and/or fillers such as bellafill, renuva synthetic fat, or sculptra.  If skin is very loose before surgery then it will need to be removed such as lower abdominal skin (tummy tuck/abdominoplasty), breast skin (breast lift), arm skin (brachioplasty).  Overall you need a full assessment, but simple liposuction alone will not tighten skin and needs a combination of various methods -- fat removal, skin tightening, defining, fat grafting, skin removal -- to get the best in body contouring and body sculpting.  Dr. Emer.