I have low blood platelets and I want to get rhinoplasty done?

As long as your hematologist clears you for surgery, you should be fine. There are other tests that can be done such as bleeding time to see if your blood will clot properly. A platelet count of 75 is low, but not horribly so. Sometimes a transfusion can be done prior to surgery, or other medicines can be used. We often work with hematologists to determine the best course of action with patients such as yourself, and as long as everyone is on the same page, everything is usually fine.

It's possible to have rhinoplasty in my experience with platelets above 50K, and DDAVP can be used to reverse some of the effects of the low platelet numbers, but you have to be seen in person to really get proper recommendations. Be sure to discuss your goals and concerns with your board certified plastic surgeon and consider the pros and the cons. Be certain your surgeon is properly certified.  I've attached a link where you can start your search. 

bleeding is the most common complication of rhinoplasty. Anything that increases your risk should concern both you and your surgeon. Safety is always first. There are lab errors that don't represent a true bleeding disorder. If that is what you have and you have a clearance from the hematologist, it should not be an issue. Make sure you have a clearance letter from the hematologist and bring it to the consultation. The surgeon can call and clarify if he or she has any questions. 

If a hematologist has cleared you for surgery then your surgeon is less likely to object. Even before you go for a consultation you should ask the question.RegardsDr. J

Hello and thank you for your question. I would trust your hematologist's advice.  If your hematologist has given you clearance for surgery, then it is likely safe to proceed forward. 
Make sure you specifically look at before and after pictures of
real patients who have had this surgery performed by your surgeon and evaluate
their results.  The most important aspect is to find a surgeon you are
comfortable with. I recommend that you seek consultation with a qualified
board-certified plastic surgeon who can evaluate you in person.
Best wishes and good luck.
Richard G. Reish, M.D.
Harvard-trained plastic surgeon

There are plenty of excellent plastic surgeons in Manhattan that do noses who don't charge for a consultation. Other than that , medical clearance may be requested -- since you had a child, probably you do not have a major problem, but if you do, you don't want to have nasal surgery when you have a bleeding problem. Let the surgeon speak to the hematologist or your internist and see what the issues are. 

Rhinoplasty is elective surgery -- it can be done at any time.  It therefore behooves both the patient and the surgeon for you to be in the best possible shape when going into surgery.Rhinoplasty can be a bloody operation and the surgeon often depends on a good clotting system.  Even though your hematologist has provided an answer to you, it might be wise to return and have whatever tests are needed to ensure that your blood can clot properly and promptly.  If he gives the OK, then feel free to proceed.Then, do your homework and find an expert rhinoplasty surgeon.  For further info, please refer to my website captioned below.Good luck!Elliot W. Jacobs, MD, FACSNew York City

You should confirm with your hematologist before pursing the surgery and likely your doctor will have to give clearance and instructions.

Although I am not a hematologist, I have trained and worked as a surgeon in an era that has seen the 'cutoff' for low platelet counts change significantly..... it is currently viewed as 'safe' to operate on patients electively with platelet counts even lower than yours provided that their platelets function normally (there are tests for this in addition to clinical evidence of bleeding cessation after trauma), there are no other hematologic/clotting problems and that there aren't other risk factors I suggest that you talk to your hematologist in greater detail about what you are contemplating, then begin your plastic surgery vetting processgood luck...