What is an appropriate platelet count for elective surgery? What are the disqualifications?

Question

Quick history: I had a dx of thrombocytopenia during my last pregnancy in 2017(I have 3 children total). Since delivery I haven't required any precautions or further treatment. Does this disqualify me from being able to have a bbl performed? Would I be required to have extra safety measures if approved such as sx in a hospital?? I don’t want to get my hopes up if it’s just impossible. Thanks in advance.

Kenneth Hughes, MD · Answer

A normal platelet count ranges from 150,000 to 350,000. If the number of platelets is too low, excessive bleeding can occur. Discuss your diet and vitamins with your PCP or hematologist for guidance on how to raise the count and to determine the reason for the thrombocytopenia. Clearance by your specialists should allow you to have the BBL.

Mats Hagstrom, MD (license on probation) · Answer

It’s up to each individual plastic surgeon with your threshold or level of comfort is.Most  likely if your platelet level is below laboratory normal range most plastic surgeons would want a hematology clearance.At that point it’s more up to the hematologist then it is the plastic surgeon.Other tests can be ordered like an old fashion bleeding time test.Both Liposuction and fat transfer procedures can be done with very little blood loss if good technique is used.This basically means using adequate amounts of tumescent solution and injecting it in every area that’s going to be treated.Epinephrine which is one of the drugs in the tumescent solution takes 20 minutes to work full affect.When Tumescent solution is injected correctly and sufficient time is given for epinephrine to work blood loss is very low with this procedure.Still, it’s not zero and if you’re not making blood clots you will bleed.It’s more important to get properly assessed before surgery then it is to do this in a hospital ending up with transfusions.Most  plastic surgeons are going to focus on plastic surgery and leave blood clotting disorders to doctors whose career focuses on those disorders.You can always get an assessment by having in person consultations to make sure you’re a good candidate in the first place.No point in taking extra risk for a procedure that may not deliver what you were hoping for.I suggest contacting your primary care doctor and scheduling a few consultations with local board-certified plastic surgeons who have extensive experience with the BBL procedure.Best, Mats Hagstrom MD

What is an appropriate platelet count for elective surgery? What are the disqualifications?

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What is an appropriate platelet count for elective surgery? What are the disqualifications?

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