Lovenox Before Surgery or After? Any Major Bleeding Complication if Before in Your Personal Experience?

Lovenox increases the risk of bleeding.  Since my cosmetic tummy tuck patients go home the day of surgery, and I use compression boots intraoperatively, I do not give lovenox for tummy tuck patients.  That being said, I always give lovenox prior to a lower body lift.  Best of luck.

It is appropriate to use Lovenox both before and after surgery. The risk of bleeding is slightly higher if administered before surgery but not excessively so.  If Lovenox is administered 6-8 hours after surgery and compression boots are used after surgery then you can reduce the risk of bleeding without appreciably increasing the risk of a blood clot.  Having said that, abdominoplasty does have a higher risk of a blood clot compared to other cosmetic procedures. The use of peri-operative Lovenox is not only appropriate but a good idea.  This is a medical decision that should be made with your surgeon. Best wishes.