What's a normal ptt for a Tummy tuck?

Question

I had my blood work done for my tummy tuck surgery everything came back good except for my ptt according to my PS. My primary doctor said my ptt is normal which is a 39. He said its in normal range. Now my PS said normal for him is 35. And that my number is to high for him to do my tummy tuck with lipo of the flanks waist and abdomen. I'm two days away from surgery and now he tells me this. I'm so disappointed. Just wanting my money back and find a better surgeon.

John Nguyen, MD, FACS · Answer

I would be very comfortable with that PTT value.  Perhaps there are other factors that your surgeon is considering?  Good luck and be safe.John T. Nguyen, MD, FACS, FICSDouble Board Certified Plastic Surgeon

Jeffrey A. Sweat, MD · Answer

PTT norms can vary from lab to lab, but I never check a PTT on my patients unless I have a specific reason to do so and have never had problems.  There are some plastic surgeons who check this routinely and even some general surgeons, but in the absence of a personal or family history of bleeding problems, it is really quite unnecessary.  If the normal is 35 and yours is 39, you're still close enough to the normal not to have any problems.  Your solution of getting a second opinion sounds like a good one to me.  Best of luck!

Thomas Guillot, MD (retired) · Answer

I rarely check a bleeding time study unless there is a family history of such problems.  It sounds like you are close enough in range for the surgery you are anticipating.

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