Low platelet count around 72,000. Considering doing a male extended tummy tuck and gynecomastia. Should I do it?

Congratulations on your impressive weight loss! It is good that you went to your hematologist to determine the nature of the low platelet count and get clearance. It is important that you review the risks and benefits of the surgery with your hematologist and surgeon to help you determine if it is safe for you to proceed. The main risk of the low platelets would be bleeding.

Hello Giving4838,

Thank you for your question regarding considering an extended tummy tuck and gynecomastia surgery with a low platelet count.

Understanding Low Platelet Count:

Platelets are crucial for blood clotting, and a low platelet count (thrombocytopenia) can increase the risk of bleeding during and after surgery. A normal platelet count ranges from 150,000 to 450,000 per microliter of blood. Your count of 72,000 is significantly below this range, which raises concerns for any surgical procedure.

Risks and Considerations:

Increased Bleeding Risk:

A low platelet count can increase the risk of excessive bleeding during and after surgery. This is a significant concern, especially for extensive procedures like a tummy tuck and gynecomastia.
Pre-Surgery Preparations:

Your hematologist has recommended taking prednisone to boost your platelet count before surgery. This is a common approach to temporarily increase platelet levels, but it comes with its own set of risks and side effects.
Comprehensive Medical Evaluation:

It is essential to have a detailed discussion with both your hematologist and your plastic surgeon. They need to work together to assess your overall health and determine if the benefits of the surgery outweigh the risks.
Recommendations:

Consultation with Specialists:

Ensure you have a thorough consultation with your plastic surgeon, who will assess your specific case, review your medical history, and consider the recommendations of your hematologist.
Pre-Surgery Blood Tests:

You will likely need a series of pre-surgery blood tests to monitor your platelet count and ensure it is at a safe level for surgery.
Intraoperative and Postoperative Management:

Your surgical team should have a clear plan for managing your platelet count during and after the procedure. This might include having platelet transfusions available and closely monitoring your blood clotting levels.
Post-Surgery Care:

After surgery, you will need close monitoring for any signs of excessive bleeding or complications. Follow-up care with both your plastic surgeon and hematologist will be crucial.
Conclusion:

While it is possible to proceed with surgery with a low platelet count, it requires careful planning and collaboration between your healthcare providers. The decision should be based on a thorough risk assessment and a well-coordinated care plan.

Good luck with your consultation, and I hope this helps to answer your question regarding the feasibility of undergoing a tummy tuck and gynecomastia surgery with a low platelet count.

Sincerely,

J. Timothy Katzen, MD, FASMBS, FICS
Plastic Surgeon

The risk of bleeding complications are something that surgeons take seriously. Your hematologist and your board certified plastic surgeon will determine if you can proceed with surgery. Good luck.