I want breast aug & tummy tuck but i have antiphospholipid syndrome? Is this a major problem?

Question

I have antiphospholipid syndrome and am currently considering surgery to have a tummy tuck and breast augmentation. Currently my antiphospholipid syndrome is treated only with baby aspirin daily. I was diagnosed after a retinal vein occlusion. Would this prevent me getting a surgeon to perform either of these procedures? Would I be given anti thrombotic drugs prior to or during surgery, how would this generally be tackled? This is the main concern for me.

Michael S. Beckenstein, MD · Answer

If you really have this syndrome you are at risk of thrombosis even with anti coagulation. Elective aesthetic surgery is not worth the significant risk, medically necessary surgery has to be!

C. Bob Basu, MD, MPH, FACS · Answer

Your antiphospholipid syndrome significantly increases your risk of deep venous thrombosis (DVT) and pulmonary embolus (PE).  You will need to speak with your hematologist to develop a DVT prophylaxis strategy.   Most likely you will need to be off aspirin for at least 2 weeks before surgery.  I'm assuming your hematologist will prescribe a regimen of Lovenox before and after your surgery.   Also, I would not advise multiple procedures in one setting.  Plan to just have on procedure at a time to minimize your risk of DVT.  Best wishes.

Shady Hayek, MD · Answer

I am sorry for what you have but at the same time it is a good thing to know before surgery as your doctor will now be able to do things prior, during and after surgery to decrease your risk of having clots in your veins that an dislodge to your lungs and cause problems. Among the important things to do are the following:1- do your surgeries separately as this will help decreasing your clotting risk by decreasing operative time and trauma2- make sure you get blood thinners other than aspirin before and after the surgery3- make sure your doctor uses some sort of mechanical prophylaxis like sequential pressure, stockings ...etc4- make sure to start walking immediately after you wake up from anesthesia to decrease the risk of clotting.Good luck,Shady Hayek, M.D.Beirut, Lebanon

I want breast aug & tummy tuck but i have antiphospholipid syndrome? Is this a major problem?

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