I have a platelet count of 480. Can I get Smart Lipo?

Question

I am considering smartlipo on my upper , lower abs and my flanks . My blood platelet level is 488 . Can I get smartlipo ?

Jason Emer, MD · Answer

liposuction can be done with proper medical clearance.

my whole practice is doing lipoabdominoplasty, or at least liposuction with internal heating (which is not the gold standard for skin tightening with body contouring).

the smaller you are before liposuction the more contouring you can get from the procedure. most of my liposuction patients get pre and post surgical optimization with hormonal therapy (see link to help boost their weight loss before surgery and help them heal after).

You need a formal evaluation by an expert in body shaping and contouring to determine what is best.  Traditional liposuction awake and smart liposuction are old methods and do very poorly for tightening skin or significant skin tightening or contouring.  Small problem areas can be improved slightly by these methods.  The best in body contouring not only removes fat with energy devices like VASER ultrasound but also internally heat the skin with radio-frequency devices such as J PLASMA/RENUVION, InMode BodyTite, ThermiRF to heat the under surface of the skin and tighten it at the same time as fat removal. These combinations are called 4D HIDEF VASER contouring and can only be done by a well . trained body contouring specialist. At the same time fat should be harvested, PRP and stem cells added and injected into muscles or indentations/cellulite to get body shaping and contouring.  This is known as a Brazilian butt lift when you inject the fat to the buttock for contouring and lifting, but fat can also be used in areas such as the chest/breast, arms/shoulders, calves and face.  Cellulite should also be treated with cellfina, sculptra, subcision and/or fillers such as bellafill, renuva synthetic fat, or sculptra.  If skin is very loose before surgery then it will need to be removed such as lower abdominal skin (tummy tuck/abdominoplasty), breast skin (breast lift), arm skin (brachioplasty).  Overall you need a full assessment, but simple liposuction alone will not tighten skin and needs a combination of various methods -- fat removal, skin tightening, defining, fat grafting, skin removal -- to get the best in body contouring and body sculpting.  Dr. Emer.

Daniel Barrett, MD · Answer

Dear marciemp,
your lab results should be within the normal range prior to surgery. But every plastic surgeon has his own postoperative protocol which he recommends to his patients. I would suggest you to discuss this with your plastic surgeon.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Marco A. Pelosi III, MD, FACOG, FACS · Answer

Your first question should be this: is smart lipo the best option for improving the appearance of my torso? If the answer is no, it doesn't matter whether can get smartlipo or not. If the answer is yes and you decide to pursue this procedure, your surgeon will review your medical history and order bloodwork and perform or send you for a medical evaluation to determine if you are healthy enough to undergo this procedure safely. A platelet count alone is not a basis for decision making.

Paul E. Cox, MD · Answer

We would need to investigate the cause of your high platelet count in consultation with your PCP. Your PCP would need to clear you before moving forward with Smartlipo.

Darryl J. Blinski, MD · Answer

The issue is why the VERY high platelet count! Before doing any surgery or ant cosmetic treatments see a hematologist to determine the reason for this VERY high count!

Mats Hagstrom, MD (license on probation) · Answer

Before considering elective surgery you should talk to your primary care doctor about getting a proper work up for thrombocytosis.

This needs to be evaluated in reference to what your normal platelet counts have been in the past. If this is a recent change in the underlying cause needs to be worked up and understood first.

Personally I would request medical clearance and ideally like to have a good understanding of why your platelet count is high.

I would consider relying on a hematologist or internist to add anticoagulant therapy as a possible measure during and immediately after surgery.  this may be as simple as sequential compression stockings, aspirin or a small dose of blood thinners.

This may not at all be necessary but I’ll leave that up to medical experts.

There are many things that need to be taken into consideration including other medical conditions, age etc.

It’s also important to get a proper assessment to confirm that you’re a good candidate for Liposuction in the first place.

Those who are less than ideal candidates should not consider taking excessive risks for procedures that have little to offer.

Those who are exceptional candidates with a potential significant quality-of-life improvement from the procedure could be willing to take increased risk.

Best,

Mats Hagstrom, MD

Randy Dean, MD - Account Suspended · Answer

Hi and welcome to our forum!
Platelets are plate shaped blood cells which aggregate together if they "recognize" damaged blood vessels and are responsible for development of a blood clot to stop bleeding.
The normal range of platelet count is 150,000-450,000 platelets per microliter of blood. 
Elevation of the platelet count is termed thrombocytosis. There are many different causes. If severe, it may increase complications due to abnormal blood clotting. 480,000 is marginally high. Your primary care physician may wish to investigate possible causes and determine if it is safe to proceed with surgery.
Best wishes...

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