Breast reduction blood clot preventives?

Certainly deep vein prophylaxis is worthy of consideration based on your history. I was certainly discuss this with your surgeon. I'm not sure it's a good idea but certainly wouldn't criticize anyone who would use Lovenox.

Thanks for your question. I can certainly appreciate your apprehension. Most of my patients are mothers and safety is a big concern. Your hematologist is really the best person to get a recommendation from to see how much risk you are at. Length of surgery can be an issue. Reductions typically are about 2 1/2-3 hours but can be longer for massive breasts. Using a anticoagulant of course helps reduce clot risks but can also significantly increase your risk of hematoma. Various things are done during the surgery to also reduce risk such as placing SCDs (sequential compression devices). I would not be opposed to you starting aspirin after a couple of days. Best of Luck!

I routinely use lovenox on patients who come to me with MTHFR syndrome.  Your risk is still low for any clotting complications but I would still recommend the lovenox post-operatively.