Im 5'1 and used to weigh 185 pounds and my breasts were DDD now I'm 109 pounds and my breasts are now around a C. I'm on Coumadin from a stroke I had when I was 16, because I have factor VIII clotting disorder. I'm now 28 and my breasts are extremely saggy. I'm very self conscious to the point where I have to see a psychologist, and it's not helping. Would I be a good candidate or is the Coumadin a major problem?
November 18, 2016
Answer: Breast lift on coumadin and factor viii Thank you for your question. Usually for patients on Coumadin we would need to bridge you to Lovenox for surgery. This would have to be coordinated with your hematologist. The more concerning issue for me would be your Factor VIII clotting disorder. This places you at a high risk for blood clots perioperatively (especially if you are stopping your long term anticoagulation). In my opinion the risk to your health and possible risk of blood clots and death is too great to take the risk for a breast reduction procedure. I understand heavy and saggy breasts can negatively affect your quality of life but just make sure to discuss your complete medical history with your surgeon so they can work closely with your hematologist and if they pursue surgery to do it in a safe manner. Regards, Surjit S. Rai, MD Dallas Plastic Surgeon
Helpful 1 person found this helpful
November 18, 2016
Answer: Breast lift on coumadin and factor viii Thank you for your question. Usually for patients on Coumadin we would need to bridge you to Lovenox for surgery. This would have to be coordinated with your hematologist. The more concerning issue for me would be your Factor VIII clotting disorder. This places you at a high risk for blood clots perioperatively (especially if you are stopping your long term anticoagulation). In my opinion the risk to your health and possible risk of blood clots and death is too great to take the risk for a breast reduction procedure. I understand heavy and saggy breasts can negatively affect your quality of life but just make sure to discuss your complete medical history with your surgeon so they can work closely with your hematologist and if they pursue surgery to do it in a safe manner. Regards, Surjit S. Rai, MD Dallas Plastic Surgeon
Helpful 1 person found this helpful
November 15, 2016
Answer: Breast lift while on coumadin? You can have a breast lift however it will take a bit of coordination with your hematologist. Generally we have patients off coumadin and transition to lovenox until several days after the procedure, and then resume the coumadin. Medical clearance and coordination takes effort, but can give you a safe opportunity and better look after your successful weight loss.
Helpful
November 15, 2016
Answer: Breast lift while on coumadin? You can have a breast lift however it will take a bit of coordination with your hematologist. Generally we have patients off coumadin and transition to lovenox until several days after the procedure, and then resume the coumadin. Medical clearance and coordination takes effort, but can give you a safe opportunity and better look after your successful weight loss.
Helpful