Is it safe to get a TT with now high iron saturation?

Thank you for your question regarding whether it’s safe to proceed with a tummy tuck (TT) despite high iron saturation following iron infusion treatment. While your improved hemoglobin levels are beneficial for surgery, elevated iron saturation (iron overload) could require further evaluation to ensure your safety.

Iron overload can sometimes increase the risk of complications during surgery, particularly with healing, inflammation, and clotting. However, it is not necessarily a contraindication for surgery if managed properly. Here’s what I recommend:

Consult with a Hematologist: Given your history of iron deficiency and recent infusions, it would be wise to have a hematologist evaluate your current iron saturation levels. They can determine whether the elevated levels are temporary due to the infusion or indicative of a more significant issue, such as hereditary hemochromatosis.

Repeat Labs and Monitoring: Your surgeon and medical team may ask for updated lab work to check not just iron saturation but also ferritin, liver function tests, and a complete blood count (CBC) to ensure there are no other abnormalities. These results will guide whether it’s safe to proceed with surgery.

Discuss with Your Plastic Surgeon: Share your recent medical history and lab results with your plastic surgeon. They may work in collaboration with your hematologist to create a surgical plan that minimizes risks.

Timing of Surgery: If your iron saturation remains high, your medical team may recommend postponing the surgery until your levels normalize or are confirmed to be safe. High iron saturation is often a temporary effect following iron infusion and may stabilize in a few weeks.

While iron overload is a concern that must be addressed, it does not automatically rule out surgery. With proper evaluation and collaboration between your healthcare providers, you can ensure a safe and successful outcome.

Sincerely,
J. Timothy Katzen, MD, FACS

Dear Calm9507,
it is hard to tell for sure without an examination. You will need to get a clearance from your hematologist prior to surgery. If you are considering surgery, I would suggest you consult a board-certified plastic surgeon. Only after a thorough examination, you will get more information and recommendations.
Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Thank you for your question! During the tummy tuck procedure overall blood loss should be minimal. The question regarding high iron levels is complicated and I would recommend being cleared by a hematologist prior to proceeding with an elective surgery. High iron levels can increase your risk of blood clots (ie DVT) and additional medications or delaying the procedure may be needed. You should discuss your care with a Board Certified Plastic Surgeon who will be able to provide more information. Thank you for your question!

You should be fine since the high level will just be temporary. You might consider a hysterectomy or removing your uterine lining if you are not planning on having children so that you can stop being anemic.

Safety is the number one priority in surgery. I encourage you to begin by discussing your situation with the physician who is treating your for your iron/hemoglobin. She/He can advise if and when it is safe for you to consider a tummy tuck. It is best if your levels are within normal limits and stable.

Unless you find a plastic surgeon, who is very knowledgeable about iron deficiency and iron treatments you’re probably better off for relying on your hematologist to guide you in regards to the appropriateness of having surgery with high iron levels.
Best,
Mats Hagstrom, MD