Lipo with superficial thrombosis due to pregnancy, would I need blood thinners?

Begin by discussing your interest in liposuction with your hematologist. If given clearance you can visit with a board certified plastic surgeon to learn about the procedure. Your history does put you at a higher risk of further clots and extra interventions both during and after surgery may be indicated. You will need to be off blood thinners for the procedure but may receive Lovenox or other treatments as preventative measures post operatively.

If you have a history of superficial thrombosis due to pregnancy and you're considering undergoing liposuction, it's crucial to discuss your medical history and any previous thrombotic events with your plastic surgeon and primary care physician. While liposuction itself doesn't typically pose a high risk of deep vein thrombosis (DVT) or pulmonary embolism (PE), individuals with a history of thrombotic events may have an increased risk of developing blood clots during and after surgery.
The decision to use blood thinners (anticoagulants) during and after liposuction will depend on various factors, including:
1. The Severity of Thrombosis: If you have a history of superficial thrombosis due to pregnancy, the risk of clot formation may be lower compared to deep vein thrombosis (DVT) or pulmonary embolism (PE). However, your plastic surgeon and healthcare provider will assess the severity and location of previous thrombotic events to determine the appropriate precautions and management.
2. Surgical Technique and Duration: The extent of liposuction, surgical technique, and duration of the procedure can influence the risk of clot formation. Longer procedures and more extensive liposuction may increase the risk of blood clots, especially in individuals with a history of thrombosis.
3. Individual Risk Factors: Other individual factors, such as age, BMI (body mass index), smoking history, use of hormonal medications (e.g., birth control pills), and underlying medical conditions (e.g., clotting disorders), can also affect the risk of thrombosis and guide the decision regarding blood thinner use.
4. Preoperative Evaluation: Before undergoing liposuction, you will likely undergo a comprehensive preoperative evaluation, including a review of your medical history, physical examination, and possibly laboratory tests or imaging studies to assess your risk of thrombotic complications.
Based on the evaluation and assessment of your individual risk factors, your healthcare team may recommend preventive measures to reduce the risk of blood clots during and after liposuction, which may include:
• Preoperative optimization of medical conditions
• Use of compression garments during and after surgery
• Early ambulation and mobilization after surgery
• Graduated compression stockings
• Administration of prophylactic blood thinners (anticoagulants) before, during, and/or after surgery in some cases
It's essential to follow your plastic surgeon's preoperative and postoperative instructions carefully and communicate any concerns or questions you may have about blood clot prevention and management. By working closely with your healthcare team and following recommended guidelines, you can minimize the risk of thrombotic complications and ensure a safe and successful outcome from liposuction.