Thalassemia minor and low hemoglobin?

Question

Hi, I’m having a tummy tuck in 2 weeks. I have thalassemia so I’m used to my hemo being low. It’s currently at 10.5 - what are the standards for thalassemia patients who may always have that low of a count and iron therapy isn’t recommended for thalassemia patients. My surgeon knows I have it and I sent her lab results, I have my pre-op later today but with all the research I’ve done this morning I’m concerned about a delay. I obviously want to be in the beat health possible for surgery

Joubin Gabbay, MD · Answer

With the proper medical clearance, it is entirely reasonable to do even significant elective / cosmetic surgical procedures on patients with many medical conditions. It sounds like you are doing everything correctly. Assuming your internist/hematologist clears you for the procedure and is comfortable with your blood count, I see no reason to forgo or delay your operation. If there is any question, your surgeon should have a discussion about the matter with your internist. Remember…a good surgeon is a physician first and should have a clear understanding of any medical condition their patient has before operating on them.It's critical that you seek the advice of a surgeon who is certified by the American Board of Plastic Surgery and has extensive experience with tummy tucks.
I wish you the best,
Dr. Gabbay.

Scott D. Green, MD · Answer

I would suggest that you discuss with your plastic surgeon at your Pre Op your concerns and certainly you should follow up and obtain a medical clearance from you hematologist. Many times, procedures can be performed with a lower Hgb, as long as it is monitored. 
Best of Luck

Lisa Lynn Sowder, MD (retired) - Account Suspended · Answer

Despite being a pretty "big" operation, blood loss during a tummy tuck is usually pretty low.  About 95% of the surgery is done with the Bovie cautery (basically an electric scalpel which seals blood vessels as it goes).  If your slightly low blood count is a chronic condition, your body has adapted to it and it would not be a contraindication for surgery.  I am sure your surgeon will be extra cautious and will do everything to minimize blood loss.

Thalassemia minor and low hemoglobin?

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Thalassemia minor and low hemoglobin?

Answers (3)

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Our mission is to create a world where every investment in modern beauty is Worth It.