Will I need a mommy makeover in a hospital because of idiopathic thrombocytopenic purpura?

Idiopathic thrombocytopenic purpura (ITP) is a condition characterized by a low platelet count, which can affect blood clotting. When considering any surgery, especially a Mommy Makeover involving multiple procedures, it's crucial to manage and monitor ITP carefully to minimize risks.

The decision to have a Mommy Makeover in a hospital setting due to ITP will depend on various factors:

Medical Evaluation: Your surgeon and hematologist will assess your overall health, including the severity of ITP, platelet counts, and any medications you're taking to manage the condition.

Surgical Risks: Surgery can pose additional risks for individuals with ITP due to potential bleeding issues. Performing the procedure in a hospital setting with specialized care and resources might be recommended to manage any potential complications related to bleeding.

Monitoring and Support: Hospitals have specialized facilities and medical teams equipped to handle emergencies and provide immediate care in case of unexpected bleeding or other complications related to ITP during or after surgery.

Your medical team, which may include your hematologist and surgeon, will collaborate to determine the safest approach for your Mommy Makeover considering your ITP. They will establish a plan that minimizes risks and ensures your safety throughout the surgical process.

Always be open and transparent about your medical history, including any conditions like ITP, with your healthcare providers. This allows them to tailor the surgical plan and precautions specifically to your needs and reduce any potential risks associated with the procedure.

You would need multiple strict clearances to attempt to confirm your risk of surgery at an appropriate level. Even then, I would likely need to split the surgery into its component parts and just do one thing at a time. I would say if you are high risk enough to require surgery in the hospital, we would really need to think very cautiously about proceeding.

Thanks for your inquiry and the answer is it depends on your platelet count, platelet function, and the amount of surgery planned. If surgery is planned, you should have your hematologist's clearance, optimization of platelet count, definitely consider surgery at the hospital and doing surgery potentially in stages to manage bleeding risks, best of luck.

Dear KurvyKay,
it is hard to tell for sure without an examination. You will need to get a clearance from your doctor prior to surgery. If you are considering a surgery, I would suggest you to consult a board-certified plastic surgeon. Only after a thorough examination you will get more information and recommendations.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

You will first need to discuss your desire for a Mommy Makeover with your specialist. If given clearance you can then visit with a board certified plastic surgeon for a consultation. Your surgeon will take into account your entire medical history as well as your candidacy for the procedures desired. Safety is always the priority in surgery and all steps will be taken to ensure this if you are deemed a candidate. This may mean that the procedure is done in a hospital and/or that you may need to stay for observation. Your surgeon will inform you of what is needed.

Patients with underlying medical conditions should typically be cleared to minimize the chance of having complications.

In your case that probably means being seen by a hematologist who can recommend any potential treatment before or after surgery as well as making an assessment to your potential individual increased risk of complications.

Having the condition does not necessarily mean that you are not capable of forming normal blood clots or have a bleeding disorder but it also means that you could.

A hematologist should be able to evaluate your condition and give recommendations to get you prepared for surgery to minimize the chance of having bleeding or blood clot disorders.

For patients who are at higher risk having procedures done in a hospital is sometimes a prudent and more appropriate decision.

This decision is going to vary substantially based on a number of factors. some hospitals do not accommodate cosmetic surgery well and do not have any type of reasonable fee structure for doing outpatient cosmetic elective surgical procedures. Other hospitals have fair and appropriate fee structures that makes it user-friendly for plastic surgeons to do cosmetic surgery.

I recommend your first step is to talk to your primary care doctor. You can then ask to be referred to a hematologist if you don’t have one already. Ask that person how they feel about having a substantial elective cosmetic procedure.

You can at the same time schedule in person consultations with local board-certified plastic surgeons. During the consultations you can discuss your medical condition and see what each person has to say.

Best,

Mats Hagstrom MD