I have the MTHFR gene mutation - can I have cosmetic surgery. Help!

Thank you for your question. Having the MTHFR gene mutation can add complexity to surgery planning, but it doesn’t automatically disqualify you from undergoing cosmetic procedures. The MTHFR mutation can affect how your body processes folate and homocysteine, potentially increasing the risk of blood clots, poor wound healing, or complications related to anesthesia. However, the severity of the mutation varies, and many individuals with MTHFR can safely undergo surgery with proper precautions.

If a surgeon has determined you’re not a candidate, consider consulting with another board-certified plastic surgeon experienced in managing patients with genetic or medical conditions. Additionally, a hematologist can assess your clotting risk and help develop a tailored perioperative plan. Preoperative testing, including advanced blood work to evaluate homocysteine levels and other clotting factors, can provide crucial insights. If your levels are elevated, your medical team may recommend interventions such as folate supplementation, B12, or other lifestyle adjustments to optimize your safety for surgery.

With proper protocols in place, many patients with MTHFR successfully undergo surgery. These precautions might include the use of blood-thinning medications to prevent clots, close monitoring during and after surgery, and nutritional optimization to support healing and minimize risks. It’s important to communicate openly with all your providers about your medical history and concerns. A team approach, involving your surgeon, a hematologist, and your primary care doctor, can ensure your care plan is tailored to your unique needs.

While the MTHFR mutation requires careful consideration, it doesn’t necessarily prevent you from achieving your goals. By working with an experienced surgeon and the appropriate specialists, you can move forward with safety and confidence. Always prioritize your health and collaborate with professionals who understand the complexities of your condition.

Sincerely,
Dr. Katzen

Your MTHFR mutation causes elevated levels of homocystine in your blood. This can potentially lead to hypercoagulability and blood clotting. You should check with a hematologist to find out whether there are ways that this could be managed around the time of your surgery. If your hematologist feels that it could be handled easily then you may consider proceeding, however, your health and safety come first.