Can one get a breast reduction if they've had a surgical Thrombectomy in the past?

Question

Can you get a breast reduction with lift if you have had a surgical Thrombectomy in the past and have been cleared by vascular?

Gary M. Horndeski, MD · Answer

If you have been cleared for surgery then yes you can undergo a breast reduction. The technique I recommend is The Bellesoma Method. This will reduce and reshape your breast tissue creating upper pole fullness without implants, elevate them higher on the chest wall and more medial to increase your cleavage. The weight of the breast is transferred to the underlying pectoralis major muscle resulting in pain relief without excessive reduction. Vertical scars are avoided, nipple sensation (in 95%) and the ability to breast feed are maintained.

Best Wishes,

Gary Horndeski, M.D.

Best Wishes,

Gary Horndeski, M.D.

Ajaya Kashyap, MD · Answer

Thank you for your question. There are multiple factors to be considered before , during and after having a breast reduction surgery, if you have a history of venous thrombosis. You will need a clearance from your Internist  as well as your vascular surgeon, in pre operative care, and aggressive post operative DVT prophylaxis. Please discuss your concerns with you Board certified Plastic surgeon. With full precautions you should do well. All the best!

Alan Gonzalez, MD, FACS · Answer

Hello @AimeeDBranch, thank you for your question. In general, having a history of surgical thrombectomy does not necessarily disqualify someone from undergoing a breast reduction and lift. If your cardiologist has cleared you, your medical history and overall health must also be considered when undergoing any surgical procedure. The best course of action is to consult a board-certified plastic surgeon for more information and options tailored specifically to your needs. Best wishes! Alan Gonzalez MD, FACS. American Society of Plastic Surgery Member (ASPS), International Federation for Adipose Therapeutics and Science Member (IFATS), Colombian Society of Plastic Surgery member (SCCP)

Daniel Barrett, MD · Answer

Dear AimeeDBranch,
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

Michal Brichacek, MD · Answer

If you are cleared by your vascular surgeon, it should generally be safe to proceed. I would want to make sure you are also fully cleared by your family doctor to make sure that there are no other concerns about clots developing. If there is a concern, a consultation with a hematologist may be required.
The main sticking point would be if you are on blood thinners or not. If you need to be on blood thinners and are not able to go off them, this would be a case where I would not perform surgery as the risk of complications would be very high.

Ronald J. Edelson, MD · Answer

The circumstances surrounding your clot need to be investigated to determine your risk of another clot. I recommend seeing a hematologist. You need to be tested for something called Leiden factor

Randal Haworth, MD, FACS · Answer

Hello !

If the factors that led to the stroke have been resolved and you are generally in good health, a previous stroke would not necessarily prevent you from undergoing cosmetic surgery. As long as you are medically cleared for the surgery, it can be performed.

Connie Hiers, MD, FACS · Answer

If you are medically cleared and are off blood thinners, you should be able to have elective surgery. If you still require blood thinners, you still may yet be able to have surgery.

Camille Cash, MD · Answer

More information is needed to determine if you'd be a candidate for a breast reduction with your surgical history.  You've done the right first step in getting cleared by your specialist.  Your surgeon will need to consider your medical history as a whole before the proper recommendation can be given.  I encourage you to meet with a board certified plastic surgeon near you to learn more.

James Hoyt, MD (retired) · Answer

If you're considering breast reduction surgery and have a history of surgical thrombectomy, it's crucial to consult with a qualified medical professional, such as a surgeon or a hematologist, to discuss your specific medical history and the potential risks associated with the procedure.
Thrombectomy is a surgical procedure to remove a blood clot from a blood vessel. The ability to undergo subsequent surgeries, such as a breast reduction, can depend on various factors, including:
1.) Overall Health: Your general health and any underlying medical conditions play a significant role in determining your suitability for surgery. A history of surgical thrombectomy might indicate an increased risk for certain complications during and after surgery, such as blood clot formation.
2.) Blood Clotting Disorders: If your surgical thrombectomy was related to a pre-existing blood clotting disorder or if you have a history of clotting issues, your surgeon will need to carefully evaluate the risks associated with another surgery.
3.) Medications: Some medications, like anticoagulants (blood thinners), can affect your body's ability to form blood clots. Your medical team will need to consider how these medications might impact the surgery and your recovery.
4.) Surgical Techniques: The surgical techniques used in a breast reduction can vary. Some techniques might carry a higher risk of clotting-related complications than others. Your surgeon can discuss the specific techniques they plan to use and their associated risks.
5.) Preoperative Assessment: Your surgeon will likely conduct a thorough preoperative assessment, including a review of your medical history and possibly additional tests, to determine the appropriateness of the surgery.
6.) Collaboration with Medical Team: It's essential for your surgeon to collaborate with your primary care physician, hematologist, or any other relevant specialists to ensure your safety during and after the procedure.
Remember, it's vital to have an open and honest conversation with your medical team about your medical history, including the surgical thrombectomy, as well as any concerns you might have. They will be able to provide personalized guidance based on your specific situation and medical history. Always follow the advice and recommendations of your medical professionals when making decisions about surgical procedures.