I have ITP. Am I safe to have a mommy makeover?

Question

Mommy makeover. I was diagnosed with ITP. My platelet level has never been below 100000. Am i safe to have a tummy tuck and breast lift? I was thinking of having tt/lipo and breast lift but read that there is a lot of bleeding during lipo. So i have decided to have just tummy tuck and breast lift. I am wondering if i am safe to have a mommy makeover with ITP.

Earl Stephenson, Jr., MD, DDS, MBA · Answer

In my opinion, it is possible that you can have a mommy makeover with ITP if you platelet count stay at least above 50,000.  Some surgeons would prefer a higher platelet count.  I would recommend that you speak to your hematologist about the safety of a mommy makeover with your ITP.  Additionally, remember always consult with several board certified plastic surgeons.  Best wishes.

Dallas Buchanan, MD · Answer

Thank you for your question. With cosmetic surgery, it is always advisable to be as safe as possible. With ITP, this can raise your risk of a bleeding complication. With a platelet count of >100,000, you should be safe to proceed with surgery. That being said, it would be helpful for you to get clearance from your hematologist prior to surgery to make sure that specialist thinks it would be ok for you to have surgery. The other thing you might want to consider is doing one thing at a time rather than bundling your surgeries. If you did both a tummy procedure and a breast procedure and had bleeding problems with both surgical sites, this could result in a significant event with a large amount of blood loss and risk. Staging the procedures would be safer. Good luck!

Steven J. Rottman, MD, FACS · Answer

Thank you for your excellent question. With a platelet level > 100,000 you should be safe to proceed with surgery. However, this question is best answered by your hematologist and board certified plastic surgeon who are most familiar with your particular situation. Hope this helps and good luck with your surgery.

Susan MacLennan, MD · Answer

Hello-As you know, ITP is due to a low platelet count and can lead to bleeding complications due to low platelets and clotting difficulties.A platelet level around 100,000 is relatively unlikely to cause a bleeding problem.The best recommendation would be to discuss your plans with your hematologist, and ideally to have your hematologist and your plastic surgeon confer about your care so that everyone is on the same page. That way, you can decide if it is safe for your to proceed.Best wishes-

Mark A. Schusterman, MD, FACS · Answer

You are at higher risk than normal, however, the usual cutoff for surgery with ITP is 80000.  I would recommend your hematologist and plastic surgeon work together to come up with a plan and that the surgery be done in an inpatient setting rather than a surgery center.

Tom J. Pousti, MD · Answer

Based on the limited information here, it is likely that you will be able to proceed. However, much more information is necessary to give you definitive advice. Therefore, best to run this question by the doctors who know you best; for example, your hematologist will likely be your best resource. Best wishes.

I have ITP. Am I safe to have a mommy makeover?

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