American Society of Plastic Surgeons
For Medical Professionals
 
ziachr
2 months ago
Answered

safe for me?

~11 years ago, the most extraordinary pregnancy (bedrest for 8 months-measuring full-term for 4 months & petite & inexplicable stretched out) I developed a diastasis & after exercises still am forever limited.The catch- I also have Leiden factor 5 & am at higher risk for clots. Do I have options? Is it worth the risk? Am I even a candidate for the tummy tuck? What can be done to reduce risks?

Procedure: Tummy Tuck
Type: Question

Replies 2

Gary Culbertson
ASPS Surgeon

Can you have a TT? Yes, you can but, you are VERY HIGH RISK. Consider first getting whatever data you can on your Coagulopathy. You may be asked to SEE A HEMATLOGIST to confirm your Factor V Lyden deficiency. If you realy have this condition PREVENTIVE MEASURES MUST BE TAKEN BEFORE ANY SCHEDULED SURGERY. Ask your hematologist to make recomendations for peri-operative care with your surgery. This normally means ANTICOAGULATION PRE-OP. Peri-operative bleeding risks can be dramatically increased. Consider your elective cosmetic surgery in a hospital setting where you can/ should be watched closely after surgery for complications. For you this most likely would NOT BE AN OUTPATIENT PROCEDURE.

Best,

Gary R Culbertson, MD, FACS

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Debra Johnson
ASPS Surgeon
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A prudent plastic surgeon would want to know your age, your BMI, and whether you or a family member have had any thrombotic events, and any other risk factors you might have to determine what your Caprini risk assessment would be. If you didn't develop clots during your pregnancy/bedrest that is somewhat comforting. But Dr. Culbertson is right, you would need your hematologist to agree that you weren't putting yourself at undue risk. Your plastic surgeon would need to accurately assess your risk, and develop an appropriate strategy to try and get you through surgery safely. Consult with an ASPS member plastic surgeon to frankly discuss your options, risks, and mitigation strategies. Good luck.

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