I am scheduled for breast lift with augmentation, dog ear revision (from previous tummy tuck), and liposuction of the flanks where the dog ear is. I take Estradiol 0.5 mg daily. My surgeon thinks I will be at greater risk for blood clots because of the Estradiol and wants me to take Lovenox for 10 days after surgery. I have no history of blood clots and did not take any blood thinners after hysterectomy or tummy tuck.
November 4, 2012
Answer: Lovenox after Breast Surgery and Abdominoplasty Revision
Based on the description of the procedures that are to be performed I would not recommend Lovenox. Taking OCP does increase a woman's chance of having a blood clot but the best way for you to combat that chance of a clot occurring would be early and often ambulation (walking).
Dr. Es
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November 4, 2012
Answer: Lovenox after Breast Surgery and Abdominoplasty Revision
Based on the description of the procedures that are to be performed I would not recommend Lovenox. Taking OCP does increase a woman's chance of having a blood clot but the best way for you to combat that chance of a clot occurring would be early and often ambulation (walking).
Dr. Es
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November 19, 2012
Answer: Use of Lovenox in plastic surgery
I typically use Lovenox with abdominoplasty surgery or extensive body contouring surgery. There are several factors that place a patient at an increased risk for DVT or pulmonary embolism. You did not mention your weight or any other concurrent medical problems. If you discontinue your Estradiol, have a BMI less than 30, your age is less than 40, and you have no family history or personal history of DVT or PE and no personal history of a malignancy then you really do not meet the criteria for the use of Lovenox. As physicians we always have to weigh the risks vs. the benefits of everything we do including the use of drugs in the perioperative period. Your plastic surgeon is in the best position to understand your medical condition and make recommendations in your best interests. If you disagree then you should communicate your concerns and get answers to your questions.
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November 19, 2012
Answer: Use of Lovenox in plastic surgery
I typically use Lovenox with abdominoplasty surgery or extensive body contouring surgery. There are several factors that place a patient at an increased risk for DVT or pulmonary embolism. You did not mention your weight or any other concurrent medical problems. If you discontinue your Estradiol, have a BMI less than 30, your age is less than 40, and you have no family history or personal history of DVT or PE and no personal history of a malignancy then you really do not meet the criteria for the use of Lovenox. As physicians we always have to weigh the risks vs. the benefits of everything we do including the use of drugs in the perioperative period. Your plastic surgeon is in the best position to understand your medical condition and make recommendations in your best interests. If you disagree then you should communicate your concerns and get answers to your questions.
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