Is it possible to have a BBL after having a DVT? I am on Xarelto until June.

Question

In November I suffered a fall while ice skating resulting in a break in tibia and later on a DVT. I am taking Xarelto until June. I am interested in a BBL. is it safe to have a BBL after having a DVT?

Daniel Del Vecchio, MD · Answer

The circumstances of your fracture easily explain the DVT. It is not as if this happened to you spontaneously. Therefore I believe you are at very low risk for having a DVT during surgery. Of course you should get medical clearance and get a hematologist to render their opinion, but I would predict that they would say there is no additional medication or precautions that you would need if you underwent an elective cosmetic procedure such as a Brazilian butt lift. Best regards

Arian Mowlavi, MD, FACS (license on probation) · Answer

A blood clot following a fracture does not disqualify you from having a BBL procedure, but we need to make sure that you are off any blood-thinning medications and foods prior to your operation. We have you see your primary care physician to ensure that you are healthy and ready for the surgery before we proceed.If you are a good candidate for a Brazilian Butt Lift (BBL), the optimal outcomes are achieved with: 1) use of VASER liposuction to harvest the fat, 2) a closed looped system such as Puregraft to process the fat, and 3) strategic micro-packet transplant technique. These three processes have demonstrated over 95% fat graft take. This means that your results will be stable as long as you maintain your weight. As an official VASER trainer, I am routinely referred unhappy BBL patients. One of the most common reasons for disgruntled BBL patients is that patients are not able to accurately communicate their desired buttocks goals to their surgeons.  A buttocks assessment tool can be an invaluable tool to communicate to your surgeon the exact buttocks size and shape you are desiring. A Skype or Facetime consultation with a BBL specialist can help you get an accurate recommendation and pricing. 
Respectfully,
Arian Mowlavi MD,FACS
Realself 100 Hall of Fame Inductee

Mats Hagstrom, MD (license on probation) · Answer

The fact that your blood clot was related to a tibial fracture makes you add relatively low risk for having a repeat blood clot. Unless there is some evidence of a blood clot in disorder I would venture to say you're probably at no more risk than the rest of the population though there may be some very slight risk from having had a previous clot.  It's unlikely you'll get the response of a hematologist which is a more appropriate person to answer your question.  I would talk to your primary care doctor about this and of course disclose your full history to any future plastic surgeon.  Most likely you are at low risk for having a repeat blood clot  You'd want to make sure you're off the blood thinners and it may be advisable to wait a little longer before having an elective surgical procedure.  This is probably something you should talk to your internist about.  Even people with mild to moderate risk of DVT's can still have elective surgery. Sometimes  certain measures are taken to minimize the chance of developing a blood clot. It's usually a risk benefit decision in regards to bleeding versus forming a blood clot.  Hope everything healed up from your accident and that you can be off your blood thinners soon.  Best, Mats Hagstrom MD

Is it possible to have a BBL after having a DVT? I am on Xarelto until June.

Answers (3)

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