Blood thinners after smart lipo.

Question

I had smart lipo on my knees, inner and posterior thighs 6 days ago. I was put on blood thinners for 2 weeks post op. Is this really necessary?

Marco A. Pelosi III, MD, FACOG, FACS · Answer

Surgery increases your risk for dangerous blood clots, but blood thinners are usually prescribed for those at higher than average risk due either to lifestyle factors or history. Ask your doctor why they thought blood thinners were necessary. They are not without side effects.

Michael H. Gold, MD · Answer

Thanks for your question and we always recommend that you have these kinds of conversations before having an elective procedure rather than after.  I am sure your provider had his/her reasons for doing this although unless there was a medical need, most of us would not give these for in-office procedures.  Check with your doc to find out why he did this – and next time, ask questions before you have things done.

Paul J. Leahy, MD · Answer

Thanks for your question. The answer would largely depend your medical history. If you've had a prior DVT or PE from blood clotting, or have a known clotting disorder, then using a blood thinner such as Lovenox after this procedure is added protection & safety. Generally risks of DVT with Smartlipo done in the office with you awake are very small. Best wishes.

David E. Berman, MD (retired) · Answer

i do not know the particulars of your case. however, Smartlipo is almost always done under local with oral sedation. Your risk of having a blood clot after this, is basically the same as if you did not have any surgery. It makes zero sense to me to put you on blood thinners afterwards. Everything has risks and i would think that in your case, the risks far outweigh any possible benefits.It would definitely make sense for you to ask your doctor why he thinks you should be on them. I suspect that there is no good reason,.david berman md

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