Inclusion Criteria:  • Patients undergoing panniculectomy or abdominoplasty.  Exclusion Criteria:  Prisoners Pregnant or nursing women Persons under the age of 18 Preexisting coagulopathy Preexisting ongoing venous or arterial thrombosis History of cerebral vascular accident History of uncontrolled seizure disorder Documented administration of daily antiplatelet or anticoagulation (e.g. acetylsalicylic acid ,Non-steroidal anti-inflammatory drugs , Warfarin) Documented allergic reaction to tranexamic acid