Nothing will eliminate your risk. The way to treat
patients is to stratify their risk and institute measures that are appropriate
based on your risk profile. For low risk patients early ambulation is
instituted. For moderate risk patients, early ambulation plus
intraoperative sequential compression stockings. For higher risk
patients, early ambulation, sequential compression stockings and graduated
compression stockings (TED hose) before and after surgery. For the next
higher risk category all of the above mentioned treatments plus subcutaneous
low molecular weight heparin. Short operations with appropriate
consideration of your risk will reduce the chance of DVT. Despite the low risk
profile of most of our patients, we treat all of them with at least early
ambulation and sequential compression stockings. If you want to add TED
hose, ask your doctor. This will further reduce your risk.
I would recommend early ambulation after surgery, cessation of oral contraception.
Harvard Educated, Beverly Hills & Miami Beach Trained, Double-Board Certified Plastic Surgeon
Risk of anesthesia and blood clots with a breast augmentation
The anesthesia your surgeon is referring to is general anesthesia given via an LMA (laryngeal mask anesthesia), a device that sits in the back of the mouth, not through the vocal cords. Almost all of my breast augmentations are done with by this method. It is safe, easy, and the patient rarely wakes up with a sore throat. In a young and healthy patient as yourself with no risk factors except the length of the procedure, a blood clot would be very rare. I place sequential compression devices (boots that wral around the calves that inflate and deflate continually to keep the circulation moving in the legs) on all my patients and they are up an around the same day.
I have a full discussion with my patients regarding the risks and benefits of general anesthesia. I use only board certified anesthesiologists and general anesthesia for my breast augmentation surgery. I do this because it is the safest most effective way to proceed. We take all precautions to prevent blood clots in the legs as well.
Hi fitgurl35... For a healthy person, anesthesia is very safe. It should be performed by a board-certified anesthesiologist in an accredited facility. If your surgeon is a board-certified plastic surgeon with experience in the procedure you want, then he will likely be working with a good anesthesiologist. If it makes you feel better, you should speak with the anesthesiologist and air your concerns. The anesthesiologist can clarify the actual risks so that you can put everything in perspective. Good luck!
Dr. Parham Ganchi - Wayne, NJ Plastic Surgeon
Anesthesia does not causes clots. Multiple factors can lead to clots and that is a long discussion. It is very uncommon.
Breast Augmentation is a relatively quick surgery and when all your other risk factors are low- which they are- your Plastic Surgeon will not likely be worried about blood clots for you and you shouldn't worry either. In general, only elderly patients or those with significant medical problems (like heart, lung, or liver disease) are at increased risk with anaesthesia. Younger, healthy patients virtually never have issues with anaesthesia, so much so that I often do not discuss anaesthesia in-depth during the consultation. I recommend that my patients walk around regularily for the first few days post op just as a precaution but blood clots post BA, even in patients with risk factors, are rare. You should certainly discuss these concerns with your Plastic Surgeon and let them put your mind at ease.
All the best
Risks of blood clots are real and board certified plastic surgeons will try to keep your risks to the minimum. Using a light anesthesia without depolarizing agents reduce risk of clots, No birth control pills, factor V lydin deficiency and length of procedure are a few of the risk factors. I try to keep the procedures shorter then 4 hours and use compression boots and or compression stockings.
Anesthesia and blood clots
Thanks for your question.
You are correct to research online potential complications with anesthesia and surgery in general. Blood clots are rare and the incidence of having them increase with general anesthesia, length of surgery, family history, smoking, obesity, birth control pills, medications and many more. You seem to be young and healthy. Your surgeon has many years of experience and problalby uses leg compression devices to reduce the risk of blood clots even further.
You should speak with your surgeon one more time to put these concerns to rest.
Good luck with your procedure.
Anesthesia during surgery
Blood clot risks go up with increased duration of the procedure. Surgeons know this and strive to keep the length of surgery down. Also, we take precautions in the OR by placing compression boots and sometimes administering pharmacologic prophylaxis against blood clots. If you have concerns, discuss it with your surgeon. Good luck!