Do I need clearance from my primary doctor if I get a BBL out of my state?

At my practice clearance is not always needed, but for patients that are over forty or have certain medical conditions clearance is required. For healthy patients under forty only routine blood tests are required. I only use Lovenox on patients at high risk of blood clots. I usually do not require patients to take Lovenox because if a patient is that much of a risk I’d rather not perform elective surgery on them at my practice. The use of Lovenox will vary between surgeons.


Jaime Perez, MD
Brazilian Butt Lift Specialist
Plastic Surgery Center of Tampa

Each patient is different and the pre-op testing will vary. About 50% of my BBL patients come from outside NY and for young healthy patients, I simply require routine bloodwork that canbe done at any walk-in lab in their home area. If they have medical problems or are older than 40 years old, I require formal medical clearnace from  primary doctor which can be sent ot my office.

If you are not overweight, have no medical problems, and are under the age of 40, you will likely not need medical clearance prior to surgery for a Brazilian Butt Lift.  The use of Lovenox, a blood thinner, is surgeon dependant.  I do not routinely use it but some surgeons do.  

Your age and general state of health determines if you will require a pre surgical clearance from your primary. The length and type of your surgery along with your past medical history will determine if you will require a blood thinner like lovenox. For example you would be a increased risk for a blood clot and may require preventative treatment with a blood thinner if you have a history of blood clotting (DVT or Pulmonary embous), are obese, smoke or have a genetic tendency towards clotting. 

Every physician has their protocol on what type of testing would be needed before a patient chooses to have cosmetic surgery. In my practice, usually patients who are healthy without any family history of clotting or bleeding disorders will not require any clearance. Overall you should follow your plastic surgeons recommendations.