How do I find surgeons who might be more confortable operating on someone with complex medical history?

That’s a great question, and I commend you for doing your due diligence in researching and selecting a surgeon who is experienced, especially given your complex medical history.

Factor V Leiden does increase your risk of developing blood clots after surgery, so it's essential to work with a surgeon who is well-versed in managing this condition. Preventative measures such as the use of compression devices on the legs, early postoperative ambulation, and appropriate anticoagulation therapy are critical to minimizing your risk of deep vein thrombosis (DVT).

Another important consideration is the location of the surgical facility. While I operate out of my own accredited private surgery center most of the time, I may choose to perform higher-complexity cases in a hospital setting when appropriate. You’ll want to ensure that your surgeon has admitting privileges at a high-acuity hospital in the event a complication arises that requires inpatient care.

Additionally, selecting a surgeon with a strong background in reconstructive surgery can be beneficial. Plastic surgeons who frequently treat medically complex patients tend to be more familiar with managing challenging cases like yours.

I highly recommend consulting with several board-certified plastic surgeons to get a sense of their approach to your specific situation and to find someone with whom you feel confident and comfortable.

The first place to start is to discuss your concerns and desires with your primary care doctor and hematologist can.
You’ll need them on board no matter who does the surgery if someone does.
Even with medical clearance, some plastic surgeons may not want to take on the procedure.
You should recognize that the surgeon isn’t the one who’s going to have the complication if one arises it is you.
The reason surgeons may not want to do the surgery is because they don’t want you to have morbidity or mortality from cosmetic surgery.
It’s unlikely someone is going to make a yes or no decision without taking everything into consideration.
First and foremost, the patient has to be a good candidate for the procedure to even consider doing it in the first place.
It makes a little sense to undergo risk if the benefit is not significant.
Pictures, we can’t begin to make an assessment.
I don’t think you want to find someone who response on this website saying I’m willing to take on a high risk patient.
Your best option is to start scheduling in person consultations with plastic surgeons in your community.
If you don’t wanna go through that process, then your motivation of having the procedure may not be enough and that speaks for itself.
I generally recommend patient schedule in person consultation and avoid virtual consultations whenever possible.
This is even more prudent when things are a bit out of the ordinary
Best,
Mats Hagstrom MD