Healthy 31 year old, will a high platelet count keep me from having a breast lift w/augmentation?

Question

I wish to have lift w/augment but I've had high platelets. I'm a very healthy 31-year old aside from that and I've seen a hematologist (two, actually; one did bone marrow biopsy "just to be safe", the other thought it was unnecessary). Neither hematologist has answers for why this is occurring, other than "sometimes this just happens", and one hematologist thought no course of action was necessary while the other thought hydrea should be prescribed. Will this keep me from surgery?

Sacha Obaid, MD · Answer

If you have a high platelet count, you need to ask your hematologist if they feel that you are at increased risk for blood clots with the surgery.  If they do not, then you are a candidate. Good luck.

Luis Villar, MD, FACS · Answer

"Age, a previous thrombotic event, and long duration of thrombocytosis were identified as major risk factors for thrombosis, while smoking, diabetes mellitus, hyperlipidemia, and hypertension did not influence the rate of thrombotic episodes."

	First check with your hematologist for level of risk.  High/Low ?   Will you need anticoagulation for surgery? 

	If low risk and cleared by hematology.  Patient must be well hydrated. Shorten the surgery  time.  Consider mastopexy first and implant later.  Complication rates are lower.

	If you are high risk, do not do the surgery. Nothing is worth a stroke or the loss of a finger or toe.    

	Best wishes. Knowledge is power.  Luis F. Villar MD FACS

Vincent N. Zubowicz, MD · Answer

An elevated platelet count can lead to a hypercoaguable situation in some individuals that might increase the risk for pulmonary embolism. This risk can be established by your hematologist. Breast lift has a very low risk in anyone for this complication. In your particular situation I don't see any contraindication to the operation.

Kenneth Hughes, MD · Answer

If clearance for the procedure is granted from the hematologist, the breast lift surgery can be performed.   Find a plastic surgeon with ELITE credentials who performs hundreds of breast lift procedures each year.  Then look at the plastic surgeon's website before and after photo galleries to get a sense of who can deliver the results.  Kenneth Hughes, MD Los Angeles, CA

Lavinia K. Chong, MD · Answer

Thrombocytosis (high platelet count) doesn't necessarily mean that you have a "hypercoagulable" state or tendency to make clots. You are to be commended for having investigated this lab finding with appropriate specialists. When you settle on the practice for your op, do disclose this, so the PS can consult with your Hematologist to determine whether there will be any intra-op or post-op precautions.  Good luck!

Healthy 31 year old, will a high platelet count keep me from having a breast lift w/augmentation?

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Healthy 31 year old, will a high platelet count keep me from having a breast lift w/augmentation?

Answers (7)

Answer: High Platelet Count?

Answer: High Platelet Count?

Answer: High platelet count doesn't automatically disqualify you from cosmetic surgery

Answer: High platelet count doesn't automatically disqualify you from cosmetic surgery

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Recommended reading

Everything you need to know about Breast Lift with Implants

Our mission is to create a world where every investment in modern beauty is Worth It.