Breast Reduction for Patient with Protein S Deficiency?

I have a protein "S" deficiency which caused me to have several Pulmonary Embolisms in the past. I'm having a Breast reduction in July.

What can I do to ensure I don't get clots after the surgery? I'm on blood thinners (Warafin) for life now, how will this affect my bleeding in surgery and recovery time? I was told I will be switched to Lovenox during the procedure.

Doctor Answers 4

Protein S Deficiency

Your surgery is a very high risk procedure. It is best done in a hospital setting, with consultations by a hematologist and the plastic surgeon. You should be fully aware of the risks of having the surgery.

The risk of pulmonary embolism can be greatly reduced, but the risk of bleeding increases, with the prophylactic measures, including Lovenox.

Beverly Hills Plastic Surgeon
4.9 out of 5 stars 177 reviews

Breast Reduction and Protein S Deficiency?

Thank you for the question. Based on your history of pulmonary embolism  you  continue to be considered high risk  for thrombotic events such as deep venous thrombosis and pulmonary embolism.

I would suggest you proceed with surgery only if you been cleared by her hematologist  and are able to follow his/her recommendations.

Best wishes.

Tom J. Pousti, MD, FACS
San Diego Plastic Surgeon
5.0 out of 5 stars 1,488 reviews

Your plastic surgeon should be making these arrangements with you

Breast reduction is an elective operation and every effort must be made to ensure a godd and safe outcome. You should have a consultation with a hematologist who willmake recommendations after looking at your labs about preventative measures. Standard things are good intra-operative hydration, proper positioning on the tabel, sequential compression stockingsbefore/during/after surgery, and early and frequent ambulation. There may be a recommendation for the addition of a peri-operative blood thinner as well. Best of luck.

Dr Edwards

Michael C. Edwards, MD, FACS
Las Vegas Plastic Surgeon
5.0 out of 5 stars 35 reviews

Hematologic disorders and surgery

While it is possible to do your surgery, you have significant risks that must be carefully evaluated by a hematologist who should be active in the participation of your care both before and after your surgery.  Good luck.

Steven Wallach, MD
New York Plastic Surgeon
4.1 out of 5 stars 29 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.