Tummy Tuck and Bleeding Disorder?

Question

I have type 1 Von Willebrands bleeding disorder. I would like to have a tummy tuck with lipo. I would like to know if having Von Willebrands increases my risk to the point where I would not be a candidate for the surgery. I have had 3 C-sections and a partial hysterectomy. I was premedicated with DDAVP and IV Benadryl (I am allergic to DDAVP) before past surgery and have had little to no bleeding. Thoughts? 46 yrs old, 5ft, 143lbs

Harry T. Haramis, MD, FACS · Answer

As long as your hematologist clears you, and you don’t have other medical issues, a tummy tuck should be possible.

Usually, as you’ve had previously, DDAVP infusion before, this would be given prior. At times, Amicar may also be given.

In my experience, we have performed tummy tucks with liposuction In similar situations with hematology clearance, medications, instructions. Stress early walking, hydration, etc to avoid DVT blood clots.

An exam and consultation with a plastic surgeon is recommended to confirm you are a candidate as well as discuss your options and expectations.

J. Timothy Katzen, MD, FACS · Answer

Hello Boymom003. Thank you for your question regarding whether you can undergo a tummy tuck with a bleeding disorder like Type 1 Von Willebrand disease.

Von Willebrand disease is a bleeding disorder that can indeed increase your risk of complications during and after surgery due to issues with blood clotting. However, since you have successfully undergone previous surgeries, including C-sections and a partial hysterectomy, with little to no bleeding when properly premedicated, it is possible for you to have a tummy tuck with lipo.

The key is to ensure that your surgical team is fully aware of your condition and that appropriate precautions are taken. Premedication with alternatives to DDAVP, considering your allergy, and close monitoring during and after the procedure would be crucial. A multidisciplinary approach involving your hematologist and anesthesiologist, along with your plastic surgeon, would be necessary to minimize risks.

Your medical history shows that you have managed your condition well during surgeries in the past, which is a positive sign. However, it is important to have a detailed consultation with your plastic surgeon and medical team to discuss all risks and ensure that they are prepared to handle any potential complications.

Good luck. I hope this helps to answer your question regarding a tummy tuck with Von Willebrand disease.

Sincerely,
Dr. Katzen

Jared Blau, MD · Answer

Thank you for the question. As long as your plastic surgeon and hematologist agree, this can be done. You may need to get the pre-medication prior to this procedure.

Camille Cash, MD · Answer

Speak with your hematologist about your interest in a tummy tuck.  If given clearance you can then schedule a consultation with a board certified plastic surgeon.  Not all surgeons may be comfortable performing the surgery and you may have extra precautions put in place for safety.

Ronald J. Edelson, MD · Answer

You need to have a hematologist treat you specifically for the bleeding disorder. It’s possible but there aren’t going to be a lot of plastic surgeons willing to take the risk

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