American Society of Plastic Surgeons
For Medical Professionals
 
mildlymodest
2 years ago
Answered

Tummy tuck and lipo

Hello! I’m 27. BMI is 27. Height 5’3. Weight 153. Healthy. I was just curious what the death and/or complication rate is for a full tummy tuck and lipo to hips and flanks is for someone with my stats? Also, during consultation I didn’t have anyone in my family that had a history of blood clots but about a month ago my sister had one in her leg that thankfully was ER. Do I need blood thinners?

Procedure: Tummy Tuck
Location: Bartlesville, OK

Replies 3

Gary Culbertson
ASPS Surgeon
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Thank you for this question. Yes, if you have a family history of DVT/ PE you should seriously consider a Hypercoagulation work up. This is normally a series of blood tests to determine if you have the propensity to form blood clots. The most most imortant is called a Factor V Lyden Deficiency. Just like there are congential conditions that can make you bleed (hemophilia) there are many conditions that can contribute to you forming a clot. These blood clots can form in you legs or pelvis (DVT) and break off and go to your lungs and cause a Pulmonary Embolus (PE). A PE can be fatal.

Now the GOOD NEWS. ASPS plastic surgeons are well aware of the increased risk for DVT/ PE with LpoAbdominoplasty. Patients are recommended to be screened to see if they are at increased risk for DVT/ PE. Many utilize methods to prevent DVT/ PE like giving their Abdominoplasty patients medications after surgery to prevent DVT/ PE.

Consider discusing your concerns about perioperative DVT/ PE.

Best-Gary

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Mathias Tremp
ASPS Int. Surgeon

Hello! Your BMI is in a good range, so the Risk remains in the normal range. You will get bloo thinners during the hospitalisation. After hospitalisation, you don't need blood thinners anymore provided you walk normally. The complications rate are very low and inlcude bleeding, infection, seroma or wound dehiscence. Overall it is a very safe procedure and can be recommended with your profile.

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Nelson Castillo

Thank you for sharing your question. Your BMI and remaining stats are all appropriate for a patient desiring the two procedures you listed. Depending on the cause of your sisters blood clot you may want to investigate if it is a familial trait and would place you at greater risk for any procedure. Hope this helps.

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