High PTT and Monocyte Absolute - will I be denied BBL surgery?

Question

I have a BBL schedule next week and my lab results came back today from my pcp. My PTT is 39 when it used to be 28 back in November 2021. My Monocytes Absolute is 0.94 I took 1-2 table spoons of SSS Tonic and vitamin C for a month and women's multivitamin gummies... THAT'S ALL. I don't drink alcohol but my doctor asked if I was drinking or taking Tylenol and I don't take or do either of those. How can I fix this? Will I be denied surgery? Today is May 11th Surgery Day is May 18th

Daniel Barrett, MD · Answer

Dear ReneeRobinnson, 
every plastic surgeon has his own preoperative 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

Alan Gonzalez, MD, FACS · Answer

Hello @Monty13 thank you for your question. Is really important that when the surgery is perform all analytical values are at an ideal level for the operation. However, we should take into account that those ideal parameters of what is normal change between countries. What is really important is to ask the specialist if the result of the test are not ideal or if they are out of the normal range and talk to your plastic surgeon as well. Best Wishes! Alan Gonzalez MD, FACS

Darryl J. Blinski, MD · Answer

Unless you have a written clearance from hematology I would cancel your surgery. The reason is your blood clotting is an issue. Lipo 360 causes larger areas of bleeding.

Douglas Taranow, DO, FACOS · Answer

Renee,
The first thing to do is repeat the labs.  It is not uncommon for lab errors or even slight changes in our blood levels throughout the year.  If you are not taking any supplements and have no other medical conditions, I bet the next test is closer to normal.
Best wishes.
Dr. Taranow

Mats Hagstrom, MD (license on probation) · Answer

Normally a plastic surgeon would order preop lab tests and they would receive a copy of the test when they became available. They would then review abnormal lab tests with the patient.

Reviewing the lab tests with your plastic surgeon still remains the same but perhaps in this case you need to contact your plastic surgeon and let them know.

Are you traveling for your procedure?

If so I don’t recommend it.

It’s better to stay local for elective surgical procedures have in person consultations, consult with Dumris providers before selecting and committing to surgery and having proper in person. Visits and availability if there are issues with the results or patients have complications.

Perhaps you’re not but most people who have questions about lab tests on this forum I do are getting ready for surgery in another country.

The answer is still the same. Contact your plastic surgeon and review the blood tests with them.

Best,

Mats Hagstrom MD

High PTT and Monocyte Absolute - will I be denied BBL surgery?

Answers (5)