I’ve just been diagnosed with Antiphospholipid antibody syndrome (APS) disease. Is it possible to have a mommy makeover?

Question

Worried won’t be able to have surgery

Vishnu Rumalla, MD · Answer

Thanks for your inquiry, you do need to discuss with your surgeon about getting clearance from your medical team and coming up with a anticoagulation therapy plan, best of luck.

Kenneth Hughes, MD · Answer

Because of your recent diagnosis of APS, you need to ensure that not only your board certified plastic surgeon, but also you rheumatologist or hematologist develop a risk-benefit assessment for your mommy makeover.  They will need to concur on a management plan which includes your medications and other prevention methods before and after surgery to minimize the risk of blood clots.Kenneth Hughes, MD, ABPS Board Certified Plastic SurgeonLos Angeles, CA

Dustin L. Reid, MD · Answer

This doesn't necessarily rule you out from having surgery, it will just require planning your part and the part of your plastic surgeon.  You will need to make sure that your hematologist is aware and on board with your surgery.  He or she will give advice to your surgeon on the best way to manage your problem during and around surgery.  Equally important is choosing a board certified plastic surgeon with experience with treating challenging medical problems and great experience in breast and body contouring.  This would include having and anesthesiologist that they trust and an accredited surgical facility.  Again, with good planning and the correct team, I think your goals could be met.  Good  luck to you.

Robert M. Tornambe, MD · Answer

kfordI appreciate your concern and attention to detail. Your first step should be consultation with your medical doctor caring for this medical condition. The problem with your particular condition is formation of blood clots, and this can be an issue with mommy makeover surgery. There are precautions that can be taken, however you and your medical doctor must weigh the risks and pros and cons of undergoing an elective procedure in light of your medical issues.If elective surgery is a reasonable option, it is important to then choose a board-certified plastic surgeon and then include all details regarding your medical conditions. It is that important to discuss the pros and cons of mommy makeover surgery in light of your particular medical condition and the risks involved. Best of luck.

Nelson Castillo, MD · Answer

Thank you for sharing your excellent question.  I would recommend speaking with your hematologist first regarding any and all conditions leading to a hyper coagulable state.  Depending on medications to treat, and any thrombotic episodes in the past, the best recommendation on surgery can be offered to you.

Daniel Barrett, MD · Answer

Dear kford1974,
as long as you get a clearance from your doctor, you might be a candidate for a surgery. If you are considering a surgery, I would suggest you to consult a board-certified plastic surgeon. Only after a thorough examination you will get more information and recommendations.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Tania Medina de Garcia, MD · Answer

Hello dear!!
Thanks for the question and provided information as well. 
Please talk to your hematologist to see if you are clear for plastic surgery and then I suggest you to book a consultation with a board certified plastic surgeon to discuss the best options for your goals.
Hope this is helpful. Good luck :)

Gary L. Ross, MBChB, FRCS · Answer

You will need to discuss this with your PS and a haematologist and only then make an informed decision as to whether to proceed or not.

C. Bob Basu, MD, MPH, FACS · Answer

Antiphospholipid antibody syndrome (APS) is an auto-immune process that can increase your risk for a blood clot.  Before you consider any elective cosmetic surgery, you will need to obtain hematologic clearance to proceed.  In my experience, patients with APS are placed on a short-acting anti-coagulation regimen before and after elective cosmetic to minimize their risk for a blood clot (DVT/ PE).  Please visit with a board certified plastic surgeon who will work closely with your hematologist to develop a safe mommy makeover treatment plan.Best wishes,Dr. BasuHouston, TX

Camille Cash, MD · Answer

It is best for you to start by speaking with your physician who treats you for your APS.  Discuss your desire for plastic surgery to determine if it is appropriate for you based on this new diagnosis.  If you are given medical clearance you can set up a consultation with a board certified plastic surgeon near you.

I’ve just been diagnosed with Antiphospholipid antibody syndrome (APS) disease. Is it possible to have a mommy makeover?

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