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I have Von Willebrand disease is a tummy tuck too high risk for me?

Q:

I have lost 97 lbs. I was 230 lbs and a size 26 and now I am currently 137 lbs and a size 6. I am 45 and in good health other than the Von Willebrand disease. I lost the weight thru diet and exercise and have kept it off for over a year now. Is a tummy tuck too high risk for me?

A:

Von willebrands predisposes you to potential bleeding. Your surgery should involve a hematologist workup and clearance for surgery. There are some medications that can be given just before surgery to decrease your risks.

A:

A.:  Many patients with Von Willebrand’s Disease have undergone successful plastic surgical procedures, including tummy tucks. There is a higher risk of bleeding in patients with this underlying coagulation problem. Currently there are medications which can be given pre-operatively and post-operatively to decrease the potential for bleeding, but not necessarily eliminate it totally.

A consultation with a hematologist would be necessary and a coordinated approach between the hematologist and the plastic surgeon, who should be certified by the American Board of Plastic Surgery and ideally a member of the American Society for Aesthetic Plastic Surgery (ASAPS). Like any patient, with or without Von Willebrand’s, you need to thoroughly understand the risks as well as the benefits before proceeding with the procedure.

 

Robert Singer, MD  FACS

La Jolla, California

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