I'm on blood thinners (coumadin)...am I still able to get a breast augmentation, if my hemoc clears me?

Question

Do you all think I will find a doctor confident enough to perform a breast augmentation....even though I had a clot before...I had jugular thrombosis last year Oct...is it too soon to look into getting my breast done....

Jerome Edelstein, MD · Answer

It is not a good idea to have breast augmentation done while on Coumadin (or any blood thinner).  Not only are you at high risk for bleeding complications / hematoma, you will also be at a higher risk for capsular contracture.  Wait until you no longer require the Coumadin ... this is elective surgery.

Jose Perez-Gurri, MD, FACS · Answer

Hi you need to be off Coumadin at least three weeks before surgery. You need to have a medical clearance. I would place you on Lovenox post-op. You must not be on any blood thinners including aspirin or aspirin containing products. Good luck Dr PG

Martin Jugenburg, MD · Answer

you should not consider any elective surgery while on any blood thinners for a jugular thrombosis last year

Earl Stephenson, Jr., MD, DDS, MBA · Answer

Personally I would be concerned about forming a cosmetic surgery on somebody's had a . I do not think the risk outweighs the benefits.

Itzhak Nir, MD, FACS · Answer

1. You need to be cleared, completely, by your hematologist2. You will need to SAFELY be off of blood thinners for at least a week before and a week after your surgery. Sometimes longer.3. You have to fully understand the risks of the surgical procedure and how the fact that you need to take blood thinners may affect the complications after the procedure.I recommend that you have a long and detailed discussion with a Board Certified Plastic Surgeon, not a "Doc in a Box" and go into detail about what your surgery will entailGood Luck.

David Finkle, MD · Answer

Blood thinners and elective cosmetic surgery DO NOT mix.  It is not worth the risk to perform any elective surgery on a person who is on Coumadin.  You and your surgeon should not place your health above an elective procedure to enhance your appearance, PERIOD!!

Robert L. Kraft, MD, FACS · Answer

I personally would not operate on you and doubt that any hematologist or other treating physician in my vicinity would feel the urgency to clear you for surgery.  Until your treatment regimen is discontinued, I would put the augment on hold.  I also would encourage you to discuss whether you could go off the medication, even for a short period, with your treating physician first as his approval will be essential.

Peter E. Johnson, MD · Answer

Your blood thinners might be continued for a year after a clot, and then you will have to discuss carefully your risk of developing a second clot after surgery, and how to reduce the risk. A care team is essential for a safe result. Our best answer for you is maybe.

Darryl J. Blinski, MD · Answer

Not knowing your complete medical history I have  doubts your hem doc WOULD clear you for surgery. Plus you are an ASA III so only in hospital operation could be done. Just for example the costs to use Baptist System is over $3,500 - just  for the hospital! Add in implants charges and MD fees your fees could approach over $9,000. None of which is covered by health insurance. Plus the VERY high risk factors for bleeding or clotting....

Tom J. Pousti, MD · Answer

Be very careful with your decision-making; if a doctor offers to perform the operation for you it is not necessarily a sign of “confidence”;  it very well could be a sign of poor judgment. Personally, I would not be willing to risk your well-being by performing elective breast surgery on you if you have been on Coumadin, for any reason, in the recent past. Best wishes.

I'm on blood thinners (coumadin)...am I still able to get a breast augmentation, if my hemoc clears me?

Answers (13)

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