I have a protein S deficiency, making me slightly higher risk for blood clots. Is a facelift a risky procedure for me?
Protein S deficiency is a blood clotting disorder that can place patients at a higher risk for blood clots. A hematologist should evaluate you to see if you can undergo elective surgery. If you are cleared for surgery, there are things we can do to help prevent a blood clot from forming. The procedure should be done with IV sedation and local anesthesia. This may decrease the risk of clot formation as compared with general anesthesia. SCD’s, or sequential compression devises must be used. These are «booties» that compress the legs and help prevent clot formation in the lower extremities. In addition, aspirin may be started forty-eight hours after surgery. In conclusion, you are at a higher risk for having complications associated with elective surgery, as compared with a patient without protein S deficiency. While the risks are likely low, this is a decision that you must make after discussing the surgery with your hematologist and surgeon.
Posted by Dr. Bustillo