I'm 23 and on Wafarin (for the rest of my life) due to a blood clot I got in my liver a few years ago. Do I have any available options when it comes to breast augmentation surgery? Are there private clinics that operate within actual hospitals where there is a HDU if I were to have any post-op bleeding?
Answer: Warfarin and augmentation Many patients who are on chronic anticoagulation with warfarin or other drugs, can safely undergo surgical procedures. In order to do so, they must generally be taken off those drugs for a time befor surgery to allow clotting to return to normal.High risk patients are often hospitalized, converted to heparin before surgery, then stoping heparin to operate. Augmentation is an elective procedure, and you dont want to take unreasonable risks to have it done.Discuss your risks throughly with your hematologist and your surgeon.
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Answer: Warfarin and augmentation Many patients who are on chronic anticoagulation with warfarin or other drugs, can safely undergo surgical procedures. In order to do so, they must generally be taken off those drugs for a time befor surgery to allow clotting to return to normal.High risk patients are often hospitalized, converted to heparin before surgery, then stoping heparin to operate. Augmentation is an elective procedure, and you dont want to take unreasonable risks to have it done.Discuss your risks throughly with your hematologist and your surgeon.
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March 9, 2018
Answer: Coumadin and Breast Augmentation You really have to weigh your risk of developing a clot against the benefit of having a breast augmentation. Only your hematologist and perhaps hepatologist would know what your risk is for stopping your medication for surgery. Obviously when you require surgery for cancer, for example, then the risk/benefit profile changes and you would stop the Coumadin and risk a clot for the benefit of removing your cancer.
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March 9, 2018
Answer: Coumadin and Breast Augmentation You really have to weigh your risk of developing a clot against the benefit of having a breast augmentation. Only your hematologist and perhaps hepatologist would know what your risk is for stopping your medication for surgery. Obviously when you require surgery for cancer, for example, then the risk/benefit profile changes and you would stop the Coumadin and risk a clot for the benefit of removing your cancer.
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March 8, 2018
Answer: Warfarin and BA Hello, I think you will find that most surgeons will be very cautious about offering elective surgery given your history of a blood clot. They might first consult with your hematologist and primary care physician, and determine what steps could be taken to reduce your risk of a recurrent postoperative blood clot.
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March 8, 2018
Answer: Warfarin and BA Hello, I think you will find that most surgeons will be very cautious about offering elective surgery given your history of a blood clot. They might first consult with your hematologist and primary care physician, and determine what steps could be taken to reduce your risk of a recurrent postoperative blood clot.
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March 8, 2018
Answer: Options? This situation is highly complicated. You should seek the advice of a hematologist and get a second opinion on how long you need to be on Coumadin. Good luck. Dr. Aldo
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March 8, 2018
Answer: Options? This situation is highly complicated. You should seek the advice of a hematologist and get a second opinion on how long you need to be on Coumadin. Good luck. Dr. Aldo
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March 9, 2018
Answer: Warfarin and Breast augmentation Hi, thank you for your enquiry. This is an unusual question but very useful to discuss. In my opinion most reputable surgeons would be cautious of undertaking a breast augmentation for purely cosmetic purposes. However being on warfarin would not normally stop a surgeon operating if there was a medically valid reason (for instance after trauma). The best advice would come from your current doctors (ie the one's that recommended the warfarin in the first place). If you are on it for preventative reasons, sometimes it can be changed for a different blood thinner (one which thins the blood but wears off faster and might be omitted for 24hrs to make surgery less risky). However, if you are on the warfarin for continued treatment this might not be possible. If you must remain on warfarin only there might be options to perform breast augmentation through fat transfer. This has advantages and disadvantages compared to the traditional silicone implant method, which I won't elaborate on here, but the procedure (if appropriate) is less "invasive" and therefore usually causes less bleeding. In summary I suggest you speak to your liver doctors or haematologist (whoever monitors your warfarin treatment) and speak to them about whether it can be changed or halted temporarily to allow elective surgery. Keep them informed of any discussion you have with a plastic surgeon. Best of luck.
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March 9, 2018
Answer: Warfarin and Breast augmentation Hi, thank you for your enquiry. This is an unusual question but very useful to discuss. In my opinion most reputable surgeons would be cautious of undertaking a breast augmentation for purely cosmetic purposes. However being on warfarin would not normally stop a surgeon operating if there was a medically valid reason (for instance after trauma). The best advice would come from your current doctors (ie the one's that recommended the warfarin in the first place). If you are on it for preventative reasons, sometimes it can be changed for a different blood thinner (one which thins the blood but wears off faster and might be omitted for 24hrs to make surgery less risky). However, if you are on the warfarin for continued treatment this might not be possible. If you must remain on warfarin only there might be options to perform breast augmentation through fat transfer. This has advantages and disadvantages compared to the traditional silicone implant method, which I won't elaborate on here, but the procedure (if appropriate) is less "invasive" and therefore usually causes less bleeding. In summary I suggest you speak to your liver doctors or haematologist (whoever monitors your warfarin treatment) and speak to them about whether it can be changed or halted temporarily to allow elective surgery. Keep them informed of any discussion you have with a plastic surgeon. Best of luck.
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