My platelet count tends to run a little on the low side (120,000) but I have been to a hematologist who said it was fine.

Question

Is this a concern for having TT surgery?

Kenneth Hughes, MD · Answer

If a hematologist has cleared you, then you should be able to have surgery.Kenneth Hughes, MDLos Angeles, CA

David Tauber, MD · Answer

A typical full abdominoplasty is performed after patients are done bearing children or after moderate weight loss. It can be a powerful procedure that can flatten and remove excess skin from both above and below the belly button and tighten the abdominal muscles. The trade off is a scar in the bikini line that extends hip to hip and a scar around the belly button.See the following link for more info. A platelet count of 120,000, by itself, should not be of significant concern for a TT. Clearance by a hematologist further supports the safety of surgery in this situation. A detailed examination will help delineate the best surgical option. Consultation with a surgeon certified by the American Board of Plastic Surgery would be the next best step. See our link below for more information.

Brian Coan, MD, FACS · Answer

Thank you  for your awesome question! Your bio is very helpful, however without the benefit of knowing your full health history and an in person exam it's impossible to say for certain. 
I perform many BBL plastic surgeries on patients from all over the country.  I would recommend you have an in person consultation with a plastic surgeon with these credentials: *Board Certified by the American Board of Plastic Surgery -- The gold star symbol*A member of the ASPS (American Society of Plastic Surgeons) -- The circle symbol*A member of the ASAPS (American Society of Aesthetic Plastic Surgeons) -- the Queen Nefertitti symbol with a Triangle  *On faculty at local plastic surgery teaching program -- in our office we are affiliated with both Duke and UNC schools of plastic surgery.    Feel free to contact our office, it would be our pleasure to answer your questions in person. I hope this is helpful and wish you all the best in your journey.  My sincere best, Brian S. Coan, MD, FACS

Steven Schmidt, MD · Answer

A platelet count of 120,000 should be fine.  Bleeding is very uncommon until we get below 30,000 to 50,000. I wouldn't give platelets or anything around the surgery.  You should be more cautious with aspirin use which inactivates platelets.

Millicent Odunze Geers, MD, MPH · Answer

A hematologist is a specialist in blood conditions just like a plastic surgeon is a specialist in contouring the body. A second opinion would best be given by another hematologist if you still have doubts about the recommendation. If s/he feels confident about you going through surgery, s/he should feel comfortable writing a medical clearance for you to proceed with surgery. Best of luck!

Robert L. Kraft, MD, FACS · Answer

The key is whether your hematologist will provide you with written medical clearance for surgery. If this is the case, then you should be able to undergo the surgery.

Steven Wallach, MD · Answer

Your platelet count is a bit low but usually if it is over 100,000 clotting is ok. Prior to having surgery you should just get clearance from your hematologist.

Nick Masri, MD, FACS · Answer

Hello, Judith1961! Thanks for your question.
Yes, your platelet count is mildly low. But if your hematologist had done tests and allowed you to get a tummy tuck, then ask for a medical clearance to get you going. The important thing is that your platelets are functioning well, and your hematologist is the expert on that.
Just to be on the safe side, make sure that you also choose a reputable and board-certified plastic surgeon.Best of luck on your tummy tuck!

My platelet count tends to run a little on the low side (120,000) but I have been to a hematologist who said it was fine.

Answers (8)

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