Can I have a tummy tuck, breast reduction and BBL if I have sickle cell disease?

Question

I have sickle cell disease. I need to have a mommy makeover. 32 years old with 3 kids, my hemoglobin is 13. That’s okay for me to have a surgery.

Richard Nadal, MD, FACS · Answer

Hi and welcome to our forum!
In order to determine your candidacy for elective cosmetic surgery, you require a hematology consultation as a sickle cell crisis must be avoided at all costs. 
If deemed stable and of low risk, you could be considered a candidate. The extent of surgery should be minimized, perhaps by breaking up the procedure into multiple procedures of smaller magnitude. 
Your hemoglobin is satisfactory. Your oxygenation must be maintained as well. 
Best wishes...

Stefan Mark Szczerba, MD · Answer

There are some very interesting treatments now for SCD.  I would visit with your Hematologist prior to any surgery to discuss strategies for management for treatment after surgery and to get clearance for the procedure.  I personally would not do BB, BBR and TT in one operation though; that is too much surgery for one day.

Kenneth Hughes, MD · Answer

You will need to get input from your hematologist about whether this could be considered. Because of your sickle cell disease, I would recommend that you stage the procedures rather than have them performed at one time: lipo and BBL, breast reduction, tummy tuck.

Zoran Potparic, MD · Answer

I would suggest to separate these procedures and do one at time. Preparation for surgery and good coordination between your primary care physician, plastic surgeon, possibly hematologist is mandatory to avoid sickle cell crisis. In person consultation with a board certified plastic surgeon (in private practice, try to avoid clinics since this coordination would be very difficult) is recommended. Good luck.

Daniel Barrett, MD · Answer

Dear nancyfaustin87,
I understand your concern. It is best however that you consult with a board certified plastic surgeon to determine whether you can have several aesthetic surgeries in one session, as this would depend on various factors including but not limited to your general health condition, the type of anesthesia that will be used, and the type of surgeries that will be performed among others.
Daniel Barrett, MD

Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Dallas Buchanan, MD · Answer

Thank you for your questions. I would say that putting that many procedures together in your case would be unwise. You need to speak with your medical doctor about surgical clearance and planning around your surgery. The bottom line is that nobody "needs" a mommy makeover, it is an elective procedure and should be done in a way to optimize safety. This may include staging the procedure. Discuss your goals with a plastic surgeon who is board certified by the American Board of Plastic Surgery and together plan a way that you can achieve your goals while prioritizing your safety.Good luck!Dallas R. Buchanan, MD, FACSOwner & Board-Certified Plastic SurgeonVIVIFY plastic surgery

Robert M. Tornambe, MD · Answer

Nancy  I appreciate your concerns with regard to sickle cell disease and elective surgery. Your first step should be discussion with your medical doctor with regard to safety when undergoing a  lengthy procedure such as mommy makeover surgery. You may need to stage the operation, depending on the specific procedures desired. After medical clearance, consult with a board-certified plastic surgeon in your area and ask your surgeon to discuss options with your medical doctor in the loop. Good luck.

Tania Medina de Garcia, MD · Answer

Hello dear!!
Thanks for the question and provided information as well. 
Please talk to your primary doctor to see if you are clear for plastic surgery and then I suggest you to book a consultation with a board certified plastic surgeon to discuss the best options for your goals.
Hope this is helpful. Good luck :)

Jon F. Harrell, DO, FACS · Answer

In my practice a Hematology consultation and clearance/recommendations would be mandatory. Depending upon the type of SC you have it may be possible to perform the operation or parts of the operation. Occasionally, it may be necessary to transfuse preoperatively to remove the sickle cells and prevent sickle cell crisis during surgery as this could result in skin necrosis and wound healing problems.  Best of luck  Dr Harrell

Tom J. Pousti, MD · Answer

As you likely know, sickle cell disease is associated with a greater potential for perioperative morbidity and mortality. Therefore, I would suggest that you exercise extreme caution as you make your decisions. Collaboration with your primary care physician and hematologist will be the first step. Then, once you've achieved "clearance" to proceed, select your plastic surgeon very carefully. Make sure that he/she is a well experienced board certified plastic surgeon who works with an experienced board-certified anesthesiologist in a fully accredited surgical facility. The operations you are considering are too much to be done one stage, given the circumstances. Again, proceed with caution;  make your decisions very carefully. Best wishes.

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