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Reader Question – Vein Clot Prevention with Tummy Tuck?

Posted Mar 25 2010 12:00am

I’m having a tummy tuck soon and have been reading about DVT vein clots travelling to my lungs. It scares me. My PS has given me Lovenox injections to administer daily after surgery to prevent DVT blood clots. But they can cause bleeding.

Is this safe?

As you have surmised, DVT is a rare but potentially serious problem that can follow a tummy tuck. In some patients the risk can be high and some form of prophylaxis is indicated. Some of us use prophylaxis in all patients. The question is what sort of prophylaxis should that be. There are many different types of treatment each with its own risk:benefit profile.

As an injectaed blood thinner, Lovenox has a risk of bleeding and in each individual case this should be weighted against the risk of developing an unwanted clot. In higher risk patients that risk can be reasonable.

Tummy tuck surgery is one of the largest scale plastic surgery operations a plastic surgeon can perform. It is also amongst the most gratifying in the right patient. Make sure you have discussed the procedure and your options thoroughly with the right choice of surgeon.

Best Regards,

John Di Saia MD

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