Can I still have a tummy tuck after being diagnosed with CVI (venous insufficiency)?

Question

Hi I’m looking forward to having a TT this December but have recently been diagnosed with CVI (venous insufficiency) in my illiac veins (pelvic) and in my right leg. My vein doctors as well as primary are saying I can have this procedure done since a TT is Superficial but will have to take precautions my skin is really loose I was 200 pounds and I’m down to 189 are my doctors correct can I still have a Tummy Tuck I’am aware of the risk

J. Timothy Katzen, MD, FACS · Answer

Thank you for your question about having a tummy tuck after being diagnosed with Chronic Venous Insufficiency (CVI). Based on the information provided, it sounds like your vein specialist and primary care doctor have assessed your condition and are comfortable with you moving forward with surgery. However, there are important considerations and precautions to take when undergoing any surgery with CVI.

CVI affects the veins' ability to efficiently return blood from the lower body to the heart, which can increase the risk of swelling, bruising, and blood clots (deep vein thrombosis or DVT) after surgery. Fortunately, a tummy tuck is generally considered a superficial procedure and does not directly involve the deep veins. However, your CVI still requires attention to minimize risks during and after the operation.

Your plastic surgeon will need to work closely with your vein specialist and primary care doctor to ensure that all necessary precautions are taken. Preoperative measures might include compression therapy before and after surgery to promote healthy blood flow and prevent pooling in the veins. You may also be prescribed anticoagulants (blood thinners) to reduce the risk of clots, though this will depend on your individual health status and the surgeon’s judgment.

During surgery, your positioning on the operating table will also be important to avoid unnecessary pressure on the affected veins. After surgery, mobilizing early and frequently is critical to maintaining blood flow and reducing complications. This can include walking short distances as soon as it is safe to do so and using compression garments, as advised by your surgeon.

In terms of your weight loss progress, losing more weight before surgery could improve your overall outcome. If you can safely lose additional weight with the guidance of your healthcare team, you’ll likely achieve a more defined result from your tummy tuck. Your current weight of 189 pounds is already a significant improvement from your previous weight, and reaching a stable goal weight will help minimize risks and optimize skin removal and muscle repair.

In summary, your doctors are correct that a tummy tuck is generally safe with CVI if proper precautions are taken. It’s crucial to keep an open dialogue with your medical team and plastic surgeon to ensure everyone is aligned on the plan and your post-operative care. With the right preparation and attention to your condition, you can likely proceed with your tummy tuck and enjoy the benefits of your transformation.

Sincerely,
Dr. Katzen

Leila Kasrai, MD, FRCSC · Answer

You would need to confirm with your primary care physician and specialist, then discuss your medical condition with your plastic surgeon. Your plastic surgeon can then let you know if a tummy tuck would be safe for you.

Connie Hiers, MD, FACS · Answer

If your medical physician have cleared you for surgery, then you should be able to do the procedure. A tummy tuck is not considered "superficial" surgery, but does not involve the area of your organs.

Camille Cash, MD · Answer

Yes, it is likely that you will still be a candidate for a tummy tuck despite having venous insufficiency.  Your surgeon will review your medical history with you and order any needed labs or tests.  It is important to closely follow your surgeon's post op instructions to keep your risk of developing blood clots low.

Mats Hagstrom, MD (license on probation) · Answer

I think most plastic surgeons would agree that unless you’re symptomatic or have had other problems, venous insufficiency by itself is not an absolute contraindication for having cosmetic surgery.
I suggest having multiple in person, consultations with plastic surgeons in your community to get an accurate assessment, better understanding of the procedure, including a discussion about your medical history.
Best,
Mats Hagstrom, MD

Can I still have a tummy tuck after being diagnosed with CVI (venous insufficiency)?

Answers (5)

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