Round 2 issues. Is it possible to get surgery with factor 12 deficiency?

Question

I had a BBL performed in July 2021 the doctor said I would need another round to achieve the look I wanted. I booked another round and started on my labs, my PTT kept coming back elevated so I had to get further clearance from a hematologist. I was cleared but also diagnosed with factor 12 deficiency out of nowhere extremely random. My doctor no longer felt comfortable proceeding with surgery. Are there doctors that will perform surgery on patients with factor 12? Is it too risky?

Ryan A. Stanton, MD · Answer

Good question, based upon my limited knowledge as a plastic surgeon, Factor 12 deficiency does not cause any clinical bleeding problems, and thus should be OK to undergo surgery. That all being said, I would defer to your hematologist for the ultimate decision, which sounds as though you have been cleared for surgery.  Please read on for additional valuable information regarding round 2 BBL considerations.

Allow me to further answer your question as best i can without any photos. However, please keep in mind that an in-person, or at least a virtual, consultation with physical exam is first necessary before any legitimate evaluation or final surgical recommendations can be made.

You are in good company with many others who had high hopes for BBL but instead received disappointing results (lumpiness, unevenness, lack of projection in the central and/or lower buttock, insignificant hip augmentation, post-deflation sagging, fatty necrotic cyst or scar tissue, etc.) as most of the fat melts away. It is not quite as much the quality of the doctor nor liposuction technique but rather the quality of the procedure that is a large part of the problem.  Thus, going back for additional rounds of BBL most often produces the same disappointing results but at another financial loss.   Beware, if a surgeon asks you to purposely gain weight (i.e. fat) before BBL, know that the fat you lose first as you get back to your baseline weight after surgery is that very same fat that was transferred into your buttock, hence your new buttock shrinks first, the fastest, and the most...so please do not fall victim to this recommendation.

Fillers, such as Sculptra and hyaluronic acids,  for augmentation of the buttock/hips are a rip-off, period!

Buttock/hip implants, however, provide a more reliable, predictable, relatively safe, and permanent result, especially for adding projection to the hips and central buttock, and often help smoothing out lumpiness. Occasionally a lower buttock tuck may be advantageous for lower buttock fold asymmetries and/or sagging.  When considering buttock implants make sure that the surgeon is going to be placing the implants within gluteus muscles , (a.k.a. “intramuscular pocket”), and that they are using anatomically correct, oval-shaped implants, such as Stanton Anatomic ®️ implants. 
Please keep in mind that an extremely few number of board-certified plastic surgeons specialize in these buttock implants so be sure to consult with one that is reputable and experienced. Unfortunately you may have to travel long and far away from home to find this particular surgeon. Glad to help.

Daniel Barrett, MD · Answer

Dear Beautiful3434,
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

Mats Hagstrom, MD (license on probation) · Answer

This is a fairly unusual blood clotting anomaly. From my understanding, it tends to be fairly asymptomatic, because other clotting factors can substitute in its role, and while it does cause changes blood tests, it tends to not cause significant bleeding during surgery. I’m not a hematologist. This is just my rudimentary knowledge of the condition.
If your hematologist cleared you, then I suggest you talk to your plastic surgeon and have them discuss the case with the hematologist to make sure your plastic surgeon is well informed on your condition.
Each plastic surgeon will have the wrong view. Some plastic surgeons simply will not schedule elective, cosmetic surgery, and patients who have blood clot disorders.
Other bleeding disorders can be very serious, leading to life-threatening blood loss, and the need for blood transfusions.
Each plastic surgeon will have their own view and criteria. For that reason you’ll have to consult and see what each plastic surgeon has to say if you end up working with someone else.
Best,
Mats Hagstrom, MD

Round 2 issues. Is it possible to get surgery with factor 12 deficiency?

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Round 2 issues. Is it possible to get surgery with factor 12 deficiency?

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