Prothrombin Factor II - Will plastic surgeons say "no" to liposuction?

Question

Hello! I am 5'4" 135lbs with Lipedema and would like to get liposuction on my legs to remove excessive fat. I am generally healthy outside of that. If I have Prothrombin Factor II would I be able to get WAL Liposuction done under general anesthesia safely with blood thinners? I'd consult a hematologist, but wondering if it's an automatic "no" from plastic surgeons?

Daniel Barrett, MD · Answer

Dear Fabulous588189,

every plastic surgeon has his own preoperative protocol which he recommends to his patients. I would suggest you to discuss this with your plastic surgeon.

Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Warren Schutte, MD · Answer

I assess all of my patients for blood clot risk via the national Caprini Risk Scale for development of DVT. If a patient comes back with a score of 7 or above, they need to have Lovenox injections for 1 week post-surgery to decrease risk of DVT/PE. In a case such as yours, when you have a condition that makes you higher risk for development of blood clots, you can always opt for Lovenox for 1 week following surgery, regardless of your caprini scale.

Connie Hiers, MD, FACS · Answer

If you get a medical clearance from your hematologist and your hematologist give specific orders on what medication to use, you should be able to have liposuction.

Prothrombin Factor II - Will plastic surgeons say "no" to liposuction?

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