Non-invasive cavitation and/or laser lipo on Coumadin?

I have performed liposuction on patients on coumadin safely in concert with the hematologist however, it is my not suggestion to do so. If you recently have a DVT you should wait at least 6 months before considering an elective procedure so you can short term stop the medication and then restart after the procedure if needed.  But this should be discussed with both your physicians.  Best, Dr. Emer.

Thank you for your question.I would suggest waiting until you are off the Coumadin completely before going through with an elective surgery.  It is one thing if you are having surgery because it is medically necessary, the Coumadin can be managed.  If you are having an elective procedure, why have the added risk of bleeding or any other complications.

You would require medical/hematology clearance before considering any procedures. Depending upon your exam, a noninvasive procedure such as SculpSure or Cool Sculpting may be a safer option. An exam and consultation with a plastic surgeon is recommended to discuss your options and expectations.

If you are on coumadin, liposuction is not safe. You likely would have excess bleeding. Best to continue your coumadin for as long as your hematologist feels it is appropriate then reconsider your options.

Hi Ag8910.  The procedures use laser energy or ultrasound to try to break down fat cells, and as there is tissue damage, you would be at risk for bleeding complications.  I do not believe either treatment would be advisable.  While plastic surgeons have a wonderful armementarium to try to address body contour concerns,  in high risk patients there is simply nothing that can substitute for diet and exercise.  Rather than using your resources on these procedures, you may want to employ the services of a dietician and personal trainer.  Perhaps more important, I would recommend seeing a hematologist to try to determine the reason you are prone to getting dvt's.  You could be tested for a number of genetic conditions which increase risk for clotting (e.g., Factor V leiden, mthfr).  It would be important to know if you are a carrier.  If you ever required surgery, it likely affect how you are manage.  Furthermore, if you are a carrier, you would want to alert family members, so they could be tested as well.  Best of luck.

I suspect you CAN NOT have either union surgical option because the risks of bleeding is so  high.........