I have two blood clotting disorders factor v leiden and factor ll. I had a breast augmentation three months ago and now I am thinking of a tummy tuck or body lift how risky is that for me?
Answer: No Drain Tummy Tuck for patient considering Tummy Tuck or Body Lift with blood clotting disorders Neither of these conditions would likely prevent you from having this surgery, but they can increase the risks. Tummy Tuck has been associated with higher risk of blood clots than a breast augmentation, and is likely to have a greater impact on your ability to get around ("mobilize") quickly after surgery. Early mobilization after surgery has been found to be one of the most important factors in reducing the risk of blood clots after any surgery.In this setting, the No Drain Tummy Tuck might be especially helpful, since without the drain, my patients tell me that there is less pain when you start moving after surgery (and we want you to start moving even the same day as your surgery). On the other hand, the No Drain Tummy Tuck is more complex, and does take about 20-30 minutes longer, even in experienced hands. But I believe that the significant benefits of early mobilization are greater than any increased risk associated with that additional operative time.Since No Drain Tummy Tuck is more complex, if you do decide to go that route, be sure your surgeon has a lot of experience with the No Drain technique.Of course, you should definitely get input from your hematologist before having one of these, larger, procedures. Likely you have already seen a hematologist. Having the hematologist write a note for the plastic surgeon is a great way to facilitate that communication and put you in the best position for the best result.Good Luck with whatever you decide!
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Answer: No Drain Tummy Tuck for patient considering Tummy Tuck or Body Lift with blood clotting disorders Neither of these conditions would likely prevent you from having this surgery, but they can increase the risks. Tummy Tuck has been associated with higher risk of blood clots than a breast augmentation, and is likely to have a greater impact on your ability to get around ("mobilize") quickly after surgery. Early mobilization after surgery has been found to be one of the most important factors in reducing the risk of blood clots after any surgery.In this setting, the No Drain Tummy Tuck might be especially helpful, since without the drain, my patients tell me that there is less pain when you start moving after surgery (and we want you to start moving even the same day as your surgery). On the other hand, the No Drain Tummy Tuck is more complex, and does take about 20-30 minutes longer, even in experienced hands. But I believe that the significant benefits of early mobilization are greater than any increased risk associated with that additional operative time.Since No Drain Tummy Tuck is more complex, if you do decide to go that route, be sure your surgeon has a lot of experience with the No Drain technique.Of course, you should definitely get input from your hematologist before having one of these, larger, procedures. Likely you have already seen a hematologist. Having the hematologist write a note for the plastic surgeon is a great way to facilitate that communication and put you in the best position for the best result.Good Luck with whatever you decide!
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July 15, 2014
Answer: Blood clot disorder and cosmetic surgery Thank you for your question. Did you consult with a hematologist prior to your breast surgery? If not then I would recommend you do so before a tummy tuck or body lift because those procedures are more prone to causing stasis in your leg veins which could lead to a DVT. Preop and postop subcut. heparin may be needed and this may slightly increase your chances of bleeding. I would have your hematologist discuss your case with your plastic surgeon prior to surgery to plan what type of measure might be used to prevent any clotting issues.
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July 15, 2014
Answer: Blood clot disorder and cosmetic surgery Thank you for your question. Did you consult with a hematologist prior to your breast surgery? If not then I would recommend you do so before a tummy tuck or body lift because those procedures are more prone to causing stasis in your leg veins which could lead to a DVT. Preop and postop subcut. heparin may be needed and this may slightly increase your chances of bleeding. I would have your hematologist discuss your case with your plastic surgeon prior to surgery to plan what type of measure might be used to prevent any clotting issues.
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