How important is it that a persons hemoglobin is at a certain level when think of having a BBL/TT?

What are some sure ways to increase these levels prior to surgery?

Doctor Answers 8

Preop lab values, anemia before surgery

Hemoglobin is the protein in our blood that carries oxygen to the body.  Anemia - low hemoglobin - increases the risk of surgery and anesthesia.  Your plastic surgeon and anesthesiologist will determine a good level of hemoglobin for you given your history and surgical plan.  It is important that your hemoglobin is at or above this level prior to surgery.  One of the major risks of any surgical procedure - especially liposuction - is bleeding.  Liposuction is part of the BBL.  If your hemoglobin is low, talk to your primary care physician.  He or she may be able to determine the cause of your anemia and suggest methods to increase your blood count and hemoglobin level.

Atlanta Plastic Surgeon
4.4 out of 5 stars 544 reviews


If you are anemic, you should not have the procedure . This is real surgery and there can be blood loss. Transfusions are not without risks.

William B. Rosenblatt, MD
New York Plastic Surgeon
4.2 out of 5 stars 12 reviews

Checking blood count prior to extensive plastic surgical procedures

Since any surgery can involve blood loss it is important to know in advance if a patient is anemic.  If there is any question a blood count can be performed.  Typically a patient would be placed on a multivitamin with iron for several weeks prior to surgery if anemia is an issue and a blood count should be repeated as part of the pre-operative examination. 

Jeffrey Zwiren, MD
Atlanta Plastic Surgeon
4.5 out of 5 stars 19 reviews

Relevance of hemoglobin levels

I require presurgical blood testing for ALL procedures involving sedation or general anesthesia. The answer is that it is very important.  If you are anemic or the tests reveal other abnormalities, then elective surgery should be postponed until the basis for the problem has been elucidated and it has been treated.  You can feel healthy and still have an abnormality which might be familial or reflective of an underlying condition.  The best thing is to discuss first with your hematologist or internist and to confirm that you will be able to obtain medical clearance for surgery.

Robert L. Kraft, MD, FACS
New York Plastic Surgeon
5.0 out of 5 stars 42 reviews

Pre-Operative Hemoglobin

Pre-operative hemoglobin and a healthy state is important for any elective surgical procedure.  For minor surgeries in healthy patients, your surgeon may elect not to check your labs.  However, for larger surgeries, such as BBL or TT, your surgeon may choose to check your labs to make sure that everything is within normal limits.  As long as you are healthy and have a normal diet, your labs are likely within normal limits.  However, if they are found to be outside of normal, then a more comprehensive medical workup may be required prior to surgery.  This is done for your safety.  


Good Luck.  

David Shafer, MD
New York Plastic Surgeon
4.9 out of 5 stars 77 reviews

How important is the Hemoglobin level before undergoing a TT and the BBL?

Blood work, in addition to a physical exaam, is generally routinely performed to make sure that the blood values being tested for are normal. The Hemoglobin level needs to be at a certain minimum in oredr to successfully undergo a TT and the BBL. If you are significantly anemic then that would need to be corrected before surgery. In some cases you may need to see a Hematologist. You should seek consultation with a Board Certified plastic surgeon with extensive experince performing the BBL.



George Lefkovits, MD - Account Suspended
New York Plastic Surgeon
3.8 out of 5 stars 47 reviews

Tummy Tuck and BBL

Prior to any surgery you should have a complete history and physical examination and blood work and be cleared for surgery. If the blood work is abnormal then that needs to be dealt with prior to surgery. If your blood level is low, then the c

Samir Shureih, MD
Baltimore Plastic Surgeon
4.2 out of 5 stars 7 reviews

How important is it that a persons hemoglobin is at a certain level when think of having a BBL/TT?

           This is dependent upon a host of factors including the amount of surgery performed, the cause of the anemia if present, and the treatment necessary to improve that anemia.  In an otherwise healthy person without anemia or other consuming disease, there is usually nothing that needs to be done.  The HgB does not have to be artificially elevated for surgery.  Find a plastic surgeon with ELITE credentials who performs hundreds of Brazilian buttlifts, tummy tucks, and liposuction procedures each year.  Then look at the plastic surgeon's website before and after photo galleries to get a sense of who can deliver the results.  Kenneth Hughes, MD Los Angeles, CA

Kenneth B. Hughes, MD
Los Angeles Plastic Surgeon
4.9 out of 5 stars 496 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.