Muscle Repair with Pre-existing Conditions - is it possible for me to have a Tummy Tuck?

You have a combination of medical conditions that are less than ideal for having elective cosmetic surgery.

Some plastic surgeons may feel that this makes you a non-candidate while others may be willing to still perform surgery.

You will for sure need to get medical clearance and most likely have an internist or hematologist manage blood thinners.

I suggest scheduling in person consultations to get an accurate assessment and better understanding of what can and cannot be accomplished.

Complex situations require in person thorough discussions.

Best,

Mats Hagstrom MD

Hi and welcome to our forum!
As you have already suffered a DVT following pregnancy, in spite of the heterozygous nature of your factor V anomaly (lifetime risk ~10% in the heterozygous condition), there is concern for another DVT.
By "muscle separation", we must differentiate between diastasis recti (which typically does not cause abdominal pain) and hernia, which may be painful and prone to bowel incarceration.
As the pain interferes with your activities of daily living, surgery should be considered if you are felt to be medically stable. Care to prevent DVT would include the use of anticoagulants, leg compression, and leg elevation in the early postoperative period. An inferior vena cava umbrella filter is often used to prevent recurrent episodes of DVT.
Smaller abdominal hernias can be repaired directly. Larger defects may require a mesh and flap closure.
Visit a board certified plastic surgeon for evaluation and discussion.
Best wishes...