High platelet count. Is it still possible to have a breast augmentation and 360 BBL surgery?

Hello and thank you for your question. The short answer is yes. It is possible to have elective cosmetic surgery. Having sad that, I would wait until all the diagnostic studies are done and and a diagnosis is made. Then see a board-certified plastic surgeon for a consultation. Your plastic surgeon will likely consult with your hematologist for advice on perioperative management. Best,Pejman Aflaki, M.D.Double board-certified plastic surgeon

Hi and thank you for your question. A Brazilian buttocks lift is an elective surgery. If you are in the midst of a workup for thrombocytosis, and a bone marrow biopsy is pending, you will need to wait to discover the results of that workup before you can have your surgery.

Great question!  I always get a clearance from an internist for every patient that undergoes surgery.  Once your blood doctor finishes all the testing they need to do, I would see an internal medicine physician to clear you for surgery.  Once that happens then you should be safe to proceed.Best of luck and hope this information helps!
- Dr. Roger Tsai  @DrRogerTsai
Board Certified Plastic Surgeon

The good news is that you found out about the abnormal labs before you're all set for surgery.  Obviously, you will want to do everything that you can to find out why your platelets are so high.  Ultimately, you will hope to have them lowered by the time of surgery, but there are options that would still allow you to have surgery and medically manage your risks around the time of surgery.  So complete your work-up and recognize that very likely you are still going to be able to have the surgery that you desire.  Make sure to choose a plastic surgeon that is board certified by the American Board of Plastic Surgery and that uses an accredited surgical facility with and MD anesthesiologist.  This is the safest that you can possible by with surgery.  Good luck, and I wish you well.

Since your retesting came back normal and your hematologist wants to investigate further I think you should wait until the platelet issue all gets sorted out.  If no other abnormalities are found and your second platelet count was okay you should be able to get breast augmenatation but the final decision will be up to your doctors.

Dear 3AmigosMommie,
you should be healthy and your lab results should be within the normal limit, in order to be a good candidate for elective procedure. 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

Thank you for sharing your excellent question.  Once cleared by a hematologist you should be able to pursue your surgeries but the exact cause of the thrombocytosis needs to be identified first.  Best wishes.

Hello and thank you for your questions.
Your health and safety are the number one priority in any surgical procedure, especially elective surgery. It is important to complete your diagnostic testing in order to determine the reason for your elevated platelet count. Once your hematologist has cleared you, and all medical conditions (if any) are under control, then you can see a plastic surgeon to discuss your desired procedures.
Best wishes!
Olivier A. Deigni, MD, MPH

As you are in the middle of testing, it is best to complete that and determine the reason for the high platelet count before proceeding with surgery.  Your safety is always the number one priority.  Once cleared by your specialist we welcome you to visit us in our Houston office for a consultation!

You should definitely determine the reason why your platelet counts are so high. If you have not required a splenectomy, (which would cause high platelet counts), you may have other treatable causes. Your general health should be the primary concern before you consider elective or cosmetic surgery. If you have familial or idiopathic primary thrombocytosis, you could still be a candidate for elective surgery as there are medications that can be used peri-operatively to reduce the platelet count and reduce your risk of blood clots.These medications would require careful coordination with your hematologist during the peri-operative period.