Protein C and S deficient. Can I still get lipo?

Question

Back in 2009, I had a PE. I was told being on birth control caused it. Fast forward later, I was diagnosed with Protein C and S deficiency. I'm not currently on any anticoagulants, however I had to be on lovenox during both my pregnancies and 3 months after. Can I still get lipo?

Kenneth Hughes, MD · Answer

The deficiency of Protein C and S puts you at a higher risk of a potentially fatal blood clot, including DVT and pulmonary embolism. As long as your condition is regulated by your hematologist who will have to provide clearance for the liposuction, you should be able to have the surgery. Early ambulation and use of compression devices will help to prevent blood clots.

Jason Emer, MD · Answer

we have hematology and cardiology clear our clients with this, if they clear you then we plan the pre and post treatment.  never had issues before in our practice with these clients. hormonal optimization is very important (see link). Best, Dr. Emer.

John LoMonaco, MD, FACS · Answer

Things like inflammation, immobility, and wearing compression garments can raise the risk of blood clots after surgery. Patients like you with blood that naturally clots more readily need special precautions to ensure a safe surgery.

The best way to do this is ask what your surgeon plans on doing (and not doing) very specifically as part of your surgery and aftercare. You will also need to get recommendations from your hematologist and see if anti-coagulants should be used and for how long.

Daniel Barrett, MD · Answer

Dear Drhotrod82,
it is hard to tell for sure without an examination. You will need to get a clearance from your doctor prior to surgery. If you are considering a surgery, I would suggest you to consult a board-certified plastic surgeon. Only after a thorough examination you will get more information and recommendations.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Robert M. Tornambe, MD · Answer

I appreciate your concerns, however I do not believe that your coagulation issues would be a contraindication to having liposuction. Lovenox is often used concurrently with different types of cosmetic procedures in patients with issues with previous blood clots. I recommend that you consult with both your medical doctor and board-certified plastic surgeon to formulate a safe plan to allow you to undergo liposuction. Best of luck!

Protein C and S deficient. Can I still get lipo?

Answers (6)

Answer: Liposuction candidate

Answer: Liposuction candidate

Answer: Liposuction And Clotting Issues

Answer: Liposuction And Clotting Issues

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Protein C and S deficient. Can I still get lipo?

Answers (6)

Answer: Liposuction candidate

Answer: Liposuction candidate

Answer: Liposuction And Clotting Issues

Answer: Liposuction And Clotting Issues

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Recommended reading

Everything you need to know about Liposuction

Our mission is to create a world where every investment in modern beauty is Worth It.