Our Summary

This research paper investigates the risks of blood clots after two types of stomach surgery: cosmetic abdominoplasty (a ’tummy tuck’) and functional panniculectomy (removal of excess skin and fat). The study used data from over 11,000 patients who had these procedures between 2015 and 2019.

The results showed that people who had the cosmetic surgery were more than four times more likely to have a blood clot in their lungs (postoperative pulmonary embolism or PE) than those who had the functional surgery. This risk was even higher for patients who also had a hernia repair, were overweight, or had lost a lot of weight quickly before the surgery.

Most of the blood clots happened after the patients had left the hospital, on average 10.5 days after the surgery.

The researchers suggest that patients should be warned about this risk, and it may be safer to delay this type of surgery until their weight has stabilized.

FAQs

  1. What are the two types of stomach surgeries discussed in the research paper?
  2. Are there increased risks of blood clots following cosmetic abdominoplasty compared to functional panniculectomy?
  3. What factors can increase the risk of postoperative pulmonary embolism after a tummy tuck?

Doctor’s Tip

A doctor may tell a patient considering abdominoplasty to be aware of the potential risk of blood clots, particularly if they are overweight, have recently lost a significant amount of weight, or are also undergoing hernia repair. It may be advisable to wait until their weight has stabilized before undergoing the procedure to reduce the risk of postoperative pulmonary embolism. Patients should also be educated on the signs and symptoms of blood clots and encouraged to seek immediate medical attention if they experience them.

Suitable For

Patients who are typically recommended abdominoplasty include those who have excess skin and fat in the abdominal area, which may be a result of significant weight loss, pregnancy, or aging. These patients may be seeking to improve the appearance of their abdomen, achieve a flatter stomach, and enhance their overall body contour. Additionally, patients who have experienced abdominal muscle separation (diastasis recti) may also benefit from abdominoplasty to restore core strength and function.

It is important for patients considering abdominoplasty to have realistic expectations about the outcome of the surgery and to be in good overall health. Patients should be non-smokers or willing to quit smoking before the surgery, as smoking can increase the risk of complications and impair the healing process. Patients should also have stable weight and be committed to maintaining a healthy lifestyle after the surgery to ensure long-lasting results.

Ultimately, the decision to undergo abdominoplasty should be made in consultation with a board-certified plastic surgeon who can assess the patient’s individual needs and goals, discuss the potential risks and benefits of the procedure, and create a personalized treatment plan.

Timeline

  • Before abdominoplasty:
  1. Patient consults with a plastic surgeon to discuss desired outcomes and assess candidacy for surgery.
  2. Patient undergoes pre-operative testing and evaluation to ensure they are physically fit for surgery.
  3. Patient receives instructions on how to prepare for surgery, including dietary restrictions and medication adjustments.
  4. Surgery is performed, typically under general anesthesia, and excess skin and fat are removed from the abdominal area.
  5. Patient is monitored in the recovery room before being discharged home.
  • After abdominoplasty:
  1. Patient experiences pain, swelling, and bruising in the abdominal area, which may require pain medication and compression garments.
  2. Patient is instructed on how to care for surgical incisions and manage post-operative pain.
  3. Patient attends follow-up appointments with the surgeon to monitor healing and address any complications.
  4. Patient gradually resumes normal activities and may engage in light exercise after a few weeks.
  5. Patient may experience changes in body shape and improved self-confidence as the final results of the surgery become apparent.

What to Ask Your Doctor

  1. What are the potential risks and complications associated with abdominoplasty, specifically in terms of blood clots?
  2. What factors may increase my risk of developing a blood clot after abdominoplasty?
  3. How will you monitor me for signs of a blood clot during and after the surgery?
  4. What steps can I take to reduce my risk of developing a blood clot before and after the surgery?
  5. How soon after the surgery should I seek medical attention if I suspect I may have a blood clot?
  6. Are there any alternative procedures or treatment options that may be safer for me considering my individual risk factors?
  7. How common are blood clots after abdominoplasty, and what is the typical outcome for patients who develop them?
  8. Have you had any patients experience blood clots after abdominoplasty, and how were they treated?
  9. What is your experience and success rate with abdominoplasty procedures, particularly in terms of preventing complications like blood clots?
  10. Are there any specific guidelines or precautions I should follow to reduce my risk of blood clots after abdominoplasty?

Reference

Authors: Kalmar CL, Thayer WP, Kassis S, Higdon KK, Perdikis G. Journal: Ann Plast Surg. 2022 Dec 1;89(6):664-669. doi: 10.1097/SAP.0000000000003281. Epub 2022 Aug 9. PMID: 36416696