I’m a 30 year old woman, I’m 5ft 10 and weigh 161 lbs, I have had two previous c sections and the first resulted in a PE, I have no clotting disorders or family history, I am also diabetic but is diet controlled, I understand all operations have risks and there is no certain answer but am I too high risk or would I be eligible for a tummy tuck and thigh lift ?
Answer: Assessing Risks for Tummy Tuck and Thigh Lift with a History of PE Thank you for your question regarding the possibility of undergoing a Tummy Tuck and Thigh Lift with a history of having a PE. It is essential to approach this matter with utmost caution and care. To determine the feasibility of the procedures, I recommend a thorough consultation with both your plastic surgeon and a Hematologist who specializes in blood clotting disorders. As you have a history of PE, there is a significant risk involved in undergoing these surgeries. However, after careful evaluation, you may still consider proceeding with the Tummy Tuck and Thigh Lift if you are considered a suitable candidate. Nevertheless, it is essential to recognize that a history of PE increases the chances of developing another one. To minimize the risk of post-surgery complications, I strongly advise the use of sequential compression devices for at least 2 to 3 weeks after the surgery. Additionally, you should consider lovenox injections for at least two weeks after your tummy tuck to further reduce the risk of blood clots. It is crucial not to combine the Tummy Tuck and Thigh Lift procedures simultaneously. Instead, I recommend staging them, performing the Tummy Tuck first, and then considering the Thigh Lift at a later time. Ultimately, the decision to undergo the surgery is personal, and you will need to weigh the potential benefits against the associated risks. I hope this information helps address your concerns and clarifies whether you can undergo a Tummy Tuck and Thigh Lift given your history of PE. Sincerely, Dr. Katzen
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Answer: Assessing Risks for Tummy Tuck and Thigh Lift with a History of PE Thank you for your question regarding the possibility of undergoing a Tummy Tuck and Thigh Lift with a history of having a PE. It is essential to approach this matter with utmost caution and care. To determine the feasibility of the procedures, I recommend a thorough consultation with both your plastic surgeon and a Hematologist who specializes in blood clotting disorders. As you have a history of PE, there is a significant risk involved in undergoing these surgeries. However, after careful evaluation, you may still consider proceeding with the Tummy Tuck and Thigh Lift if you are considered a suitable candidate. Nevertheless, it is essential to recognize that a history of PE increases the chances of developing another one. To minimize the risk of post-surgery complications, I strongly advise the use of sequential compression devices for at least 2 to 3 weeks after the surgery. Additionally, you should consider lovenox injections for at least two weeks after your tummy tuck to further reduce the risk of blood clots. It is crucial not to combine the Tummy Tuck and Thigh Lift procedures simultaneously. Instead, I recommend staging them, performing the Tummy Tuck first, and then considering the Thigh Lift at a later time. Ultimately, the decision to undergo the surgery is personal, and you will need to weigh the potential benefits against the associated risks. I hope this information helps address your concerns and clarifies whether you can undergo a Tummy Tuck and Thigh Lift given your history of PE. Sincerely, Dr. Katzen
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July 31, 2023
Answer: Tummy tuck - previous PE Dear Magical920644, it is hard to tell for sure without an examination. You will need to get clearance from your doctor prior to surgery. If you are considering surgery, I would suggest you consult a board-certified plastic surgeon. Only after a thorough examination, you will get more information and recommendations. Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery
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July 31, 2023
Answer: Tummy tuck - previous PE Dear Magical920644, it is hard to tell for sure without an examination. You will need to get clearance from your doctor prior to surgery. If you are considering surgery, I would suggest you consult a board-certified plastic surgeon. Only after a thorough examination, you will get more information and recommendations. Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery
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June 21, 2023
Answer: TT + thigh lift combination is not recommended Hello, pregnancy itself is one of the risk factors for PE. There are some prophylaxis before and after the surgery for PE. In my practise my patients who has history or risk of clotting disorders start using medication 1 week before the surgery. Medication goes on the first week of the surgery on all the patients, sometimes 1 month. In these kind of cases early and continuous mobilization is very important. You may have the tummy tuck surgery under these conditions but I dont recommend that combination even on healthy population. A patient with a PE history is too risky for that. Regards.
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June 21, 2023
Answer: TT + thigh lift combination is not recommended Hello, pregnancy itself is one of the risk factors for PE. There are some prophylaxis before and after the surgery for PE. In my practise my patients who has history or risk of clotting disorders start using medication 1 week before the surgery. Medication goes on the first week of the surgery on all the patients, sometimes 1 month. In these kind of cases early and continuous mobilization is very important. You may have the tummy tuck surgery under these conditions but I dont recommend that combination even on healthy population. A patient with a PE history is too risky for that. Regards.
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June 20, 2023
Answer: Risk Your health history does put you in a higher risk category. More information is needed to determine if it is "too high". Meet with your hematologist to discuss your interest in plastic surgery. You will also need medical clearance from your primary care physician or whomever manages your diabetes. If clearance is given on both accounts there are still other preventative measures that will be taken to minimize risk as much as possible.
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June 20, 2023
Answer: Risk Your health history does put you in a higher risk category. More information is needed to determine if it is "too high". Meet with your hematologist to discuss your interest in plastic surgery. You will also need medical clearance from your primary care physician or whomever manages your diabetes. If clearance is given on both accounts there are still other preventative measures that will be taken to minimize risk as much as possible.
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June 19, 2023
Answer: Understanding risk All operations incur risk; the question for you and your surgeon is whether the rewards justify the risk. A history of pulmonary embolism highlights your risk of this problem with surgery, and any surgical plan should consider steps to decrease this risk. A hematology consult to determine if you have a blood disorder that predisposes to venous thrombosis should be considered. Limiting your surgery to either a tummy tuck or a thigh lift may decrease your risk. A venous ultrasound should be performed prior to surgery to confirm you aren't already harboring a thrombosis. Measures during and after surgery, including extended (one month) blood thinners, hydration, mobilization, compression stockings, and repeat ultrasound of your legs should all be considered. Finally, a reflection on other potential risks is important. It is common to become so distracted by obvious risks that the little things can be missed.
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June 19, 2023
Answer: Understanding risk All operations incur risk; the question for you and your surgeon is whether the rewards justify the risk. A history of pulmonary embolism highlights your risk of this problem with surgery, and any surgical plan should consider steps to decrease this risk. A hematology consult to determine if you have a blood disorder that predisposes to venous thrombosis should be considered. Limiting your surgery to either a tummy tuck or a thigh lift may decrease your risk. A venous ultrasound should be performed prior to surgery to confirm you aren't already harboring a thrombosis. Measures during and after surgery, including extended (one month) blood thinners, hydration, mobilization, compression stockings, and repeat ultrasound of your legs should all be considered. Finally, a reflection on other potential risks is important. It is common to become so distracted by obvious risks that the little things can be missed.
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