Hello I’m 31, 5’1, and I weight about 241 lbs. I been wanting a tummy tuck with maybe lipo 360 due to me having kids. The thing is I have sickle cell disease, but I’m not like most sickle cell patients. Overall I’m in good health. I have a hematologist I see every 3-4months. My lab work be pretty good for the most part. Hemagoblin be either 10-11 . Iron good right now. And I might have a sickle cell crisis maybe once or twice (depending on weather) a year. But rarely hospitalized. My hematologist cleared me for bariatric surgery but I really want a tummy tuck and or lipo. Am I able to get cosmetic surgery?
Answer: Sickle cell disease Dear Brireign25, it is hard to tell for sure without an examination. You will need to get a clearance from your doctor prior to any elective procedure. If you are considering surgery, I would suggest you 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
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Answer: Sickle cell disease Dear Brireign25, it is hard to tell for sure without an examination. You will need to get a clearance from your doctor prior to any elective procedure. If you are considering surgery, I would suggest you 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
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June 7, 2025
Answer: Bariatric surgery and weight loss should come first. Your BMI is 41. There is an increasing complication rate when operating on patients with a BMI greater than 30 and the rate of complications increases as the BMI increases. In addition, the results of the surgeries that you’re requesting are subpar due to the excess weight. Your results would be better and your surgery would be safer if you underwent your bariatric surgery first and brought your BMI down below 30 prior to considering any cosmetic surgery. Have a detailed discussion with a plastic surgeon to help you best understand all your options.
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June 7, 2025
Answer: Bariatric surgery and weight loss should come first. Your BMI is 41. There is an increasing complication rate when operating on patients with a BMI greater than 30 and the rate of complications increases as the BMI increases. In addition, the results of the surgeries that you’re requesting are subpar due to the excess weight. Your results would be better and your surgery would be safer if you underwent your bariatric surgery first and brought your BMI down below 30 prior to considering any cosmetic surgery. Have a detailed discussion with a plastic surgeon to help you best understand all your options.
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Answer: Sickle cell anemia and surgery Hello, in sickle cell anemia, surgical stress and especially hypovolemia and vascular damage after liposuction can trigger sickle cell crisis. This situation increases the risk of patchy skin necrosis in surgical areas and sometimes causes delayed wound healing. I think I have to speak hypothetically since I have not examined your situation: If your abdominal deformity is small, I will not recommend you to have surgery. However, if your deformity is large, your sagging abdominal skin and abdominal muscle defect cause you difficulty in daily life, then you can consider surgery. Before the operation, you can consult your own hematologist and get preoperative recommendations and have surgical treatment under the necessary drug therapy. Performing minimal liposuction as much as possible will keep the risks to a minimum.
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Answer: Sickle cell anemia and surgery Hello, in sickle cell anemia, surgical stress and especially hypovolemia and vascular damage after liposuction can trigger sickle cell crisis. This situation increases the risk of patchy skin necrosis in surgical areas and sometimes causes delayed wound healing. I think I have to speak hypothetically since I have not examined your situation: If your abdominal deformity is small, I will not recommend you to have surgery. However, if your deformity is large, your sagging abdominal skin and abdominal muscle defect cause you difficulty in daily life, then you can consider surgery. Before the operation, you can consult your own hematologist and get preoperative recommendations and have surgical treatment under the necessary drug therapy. Performing minimal liposuction as much as possible will keep the risks to a minimum.
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June 11, 2025
Answer: Sickle cell disease -am I able to get cosmetic surgery? Yes, cosmetic surgery may be possible for you even with sickle cell disease but it requires extra planning and precautions due to the unique risks involved. Let’s break it down Your Strengths • You're overall in good health • You’re under regular hematologist care • You’ve had few crises and they’re well-managed • Your hemoglobin (10–11) is relatively stable for someone with sickle cell • Your iron levels are good, which helps with healing • You were already cleared for bariatric surgery, which is more invasive than a tummy tuck or lipo in many cases. That’s a very good sign What Makes Cosmetic Surgery Riskier with Sickle Cell? Surgery, especially longer or more invasive procedures like a tummy tuck or lipo 360, increases your risk of a sickle cell crisis because of: • Dehydration • Low oxygen levels (hypoxia) • Cold operating room temps • Stress from anesthesia and healing These factors can trigger vaso-occlusive episodes (pain crises) or other complications. Many plastic surgeons will operate on patients with sickle cell only if these steps are taken 1. Full surgical clearance by your hematologist • You’ve already got this for bariatric surgery—so ask if they'd also provide a written clearance specifically for cosmetic surgery. 2. Pre-op optimization • IV hydration • Oxygen monitoring • Warm blankets during and after surgery • Sometimes pre-op blood transfusions to reduce sickled cells 3. Choosing the right surgeon & setting • Look for a board-certified plastic surgeon experienced with high-risk patients • They should perform your procedure in a hospital or accredited surgery center, not an office-based setting What You Can Do Now 1. Talk to your hematologist again and ask specifically about cosmetic surgery. 2. Start consultations with board-certified plastic surgeons who are familiar with medical conditions like yours. 3. Be open to doing your transformation in phases, if needed. You’re doing everything right: researching, staying on top of your health, and asking the right questions. With the right team and planning, your goal may very well be achievable. And even if it takes a little longer or requires a modified plan, your safety is what makes those results truly worth it.
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June 11, 2025
Answer: Sickle cell disease -am I able to get cosmetic surgery? Yes, cosmetic surgery may be possible for you even with sickle cell disease but it requires extra planning and precautions due to the unique risks involved. Let’s break it down Your Strengths • You're overall in good health • You’re under regular hematologist care • You’ve had few crises and they’re well-managed • Your hemoglobin (10–11) is relatively stable for someone with sickle cell • Your iron levels are good, which helps with healing • You were already cleared for bariatric surgery, which is more invasive than a tummy tuck or lipo in many cases. That’s a very good sign What Makes Cosmetic Surgery Riskier with Sickle Cell? Surgery, especially longer or more invasive procedures like a tummy tuck or lipo 360, increases your risk of a sickle cell crisis because of: • Dehydration • Low oxygen levels (hypoxia) • Cold operating room temps • Stress from anesthesia and healing These factors can trigger vaso-occlusive episodes (pain crises) or other complications. Many plastic surgeons will operate on patients with sickle cell only if these steps are taken 1. Full surgical clearance by your hematologist • You’ve already got this for bariatric surgery—so ask if they'd also provide a written clearance specifically for cosmetic surgery. 2. Pre-op optimization • IV hydration • Oxygen monitoring • Warm blankets during and after surgery • Sometimes pre-op blood transfusions to reduce sickled cells 3. Choosing the right surgeon & setting • Look for a board-certified plastic surgeon experienced with high-risk patients • They should perform your procedure in a hospital or accredited surgery center, not an office-based setting What You Can Do Now 1. Talk to your hematologist again and ask specifically about cosmetic surgery. 2. Start consultations with board-certified plastic surgeons who are familiar with medical conditions like yours. 3. Be open to doing your transformation in phases, if needed. You’re doing everything right: researching, staying on top of your health, and asking the right questions. With the right team and planning, your goal may very well be achievable. And even if it takes a little longer or requires a modified plan, your safety is what makes those results truly worth it.
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June 9, 2025
Answer: Sickle Cell TUMMY TUCK Hello dear. Yes, you may be a candidate for a tummy tuck, provided special medical precautions are taken and the procedure is performed in a hospital setting with coordination between the hematologist, plastic surgeon, and anesthesiologist. However, liposuction 360 is generally not recommended for patients with sickle cell anemia due to the risk of internal burns, tissue necrosis, and vaso-occlusive crisis, as this technique can cause further trauma and complications. You can contact us at 829-554-6062 for a more detailed evaluation for a tummy tuck.
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June 9, 2025
Answer: Sickle Cell TUMMY TUCK Hello dear. Yes, you may be a candidate for a tummy tuck, provided special medical precautions are taken and the procedure is performed in a hospital setting with coordination between the hematologist, plastic surgeon, and anesthesiologist. However, liposuction 360 is generally not recommended for patients with sickle cell anemia due to the risk of internal burns, tissue necrosis, and vaso-occlusive crisis, as this technique can cause further trauma and complications. You can contact us at 829-554-6062 for a more detailed evaluation for a tummy tuck.
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