Mitral Valve Prolapse - Safe to Have a Mommy Makeover? Doctor Answers, Tips
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Mitral Valve Prolapse - Safe to Have a Mommy Makeover?

The sugery is suppose to last 7 hourse and 45 minutes. I am having a tummy tuck,lift,implants,smart lipo on arms,chin,back ,hip and thighs. I have never been under and am extremly scared. Is this to much or to long? Any tips or recommedations will help.Thanks in advance.

23 Doctor Answers | Asked by Houston TX4856 in League city
+1

MVP and surgery

Regardless of your MVP, this is a lot of surgery to take on in one day.  Multiple position changes etc.  Personally I'd do them in at least two sessions because I believe the data suggests that serious complications rise after 6 hours of elective surgery.
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Mommy Makeover Safety?

Thank you for the question. Mitral valve prolapse is very common and usually not an issue, especially once you've had it worked up by your internist/cardiologist. I would not suggest elective surgery that lasts almost 8 hours for a number of reasons related to safety and surgical outcome. I hope this helps.
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Is Mommy makeover surgery safe in mitral valve prolapse patients?

Yes, mommy makeover surgery can be safely performed in patients with mitral valve prolapse.   However, it depends on the function of the mitral valve.  Most mitral valve prolapse causes very little regurgitation, or back flow.   This type of mitral valve prolapse is common and is detected as a heart murmur which can be better evaluated by a simple ultrasound study performed in a cardiologist office. Treatment with prophylactic antibiotics is usually all that is... more

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+1

Mitral Valve Prolapse - Safe to Have a Mommy Makeover

Mitral valve prolapse is usually not a contraindication to having srgery or multiple procedures performed. I would recommend a medical clearance from your Cardiologist or Internist and perioperative antibiotics.
+1

Mitral valve prolapse

A mitral valve prolapse does not mean you heart is in bad condition.  Sometimes the valve has a small leak with little to no decrease in your heart's function.  I would check with you primary care doctor to ask how significant your valve prolapse is.
+1

Any cosmetic surgery procedure requires preoperative clearance beforehand

Thank you for your question.  With mitral valve prolapse, you'll need clearance from your internist or cardiologist before any surgical procedures.  After you get this clearance, make sure your anesthesiologist knows what is going on as well to prevent any sudden cancellations before your surgery.  However, once you get the "green light" from your surgery you should be just fine.  Good luck!
+1

Longer procedures do have higher risks

The "safe" length of a surgery is truly subjective.  i think most surgeons would agree that 10 to 12 hours is too long.  is 8 hours too long?  for me it is.  i like to keep my elective operations under about 6 hours.  this is for a few reasons.  the longer the surgery, the higher the risk of dvt (blood clots in the legs that can potentially cause severe respiratory issues and can be fatal).  also, recovery from anesthesia can take longer and... more
+1

Risks from Mommy Makeover surgery

Any pre-existing medical condition, such as mitral valve prolapse, should be investigated prior to your surgery and you should obtain medical clearance from your internist and cardiologist. There is no absolute cut off in terms of time of surgery but in general very long surgeries predispose to higher risk of complications.
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It should not be a problem

I have performed several "mommy makeovers" I patients with underlying medical problems. Mitral valve prolapse is quite common. Since you know that you have MVP, you've probably seen a cardiologist or your internist is following you for it. In these situations my office will contact your doctor to let them know we're planning to do and follow his recommendations prior to surgery.it should not complicate your surgery or recovery. Good luck
+1

Medical clearance for surgery, and how much is too much?

You have essentially 2 separate questions. The question regarding your mitral valve prolapse depends upon the severity of your disorder. A full clearance by your internist and your cardiologist is imperative. This may require an EKG and/or an echo-cardiogram. The second question is whether you are having too much surgery. For a mommy makeover (breast surgery + abdominal surgery), the operation is usually between 4 and 6 hours. This is a lot of surgery. Adding on additional procedures depends... more
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Mitral Valve Prolapse and Mommy Makoever Surgery

Dear HoustonTX4856: You ask an excellent question.   You will be undergoing a very long elective procedure.  Given your Mitral Valve Prolapse history, I would recommend cardiology/internal medicine evaluation (clearance) before surgery.  In addition, I would also order special preoperative antibiotics to prevent any valve related infection (called MVP prophylaxis).   If I had the opportunity to review your entire medical history, I would consider this in... more
+1

More Surgery than Recommended at One Session

Regardless of your mitral valve prolapse this is too much surgery in one session.  Regarding your mitral valve prolapse, cardiology clearance is recommended prior to any cosmetic surgery.  Please rethink you decision about having this done all at once. Dr. ES
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Combining multiple plastic surgery procedures

The background information in your post is really insufficient for any of us to give you a proper or correct answer. We do not know your age, medications you take, height to weight ratio, whether the prolapse is accompanied by regurgitant blood flow etc. There is no photo to even get an idea about how extensive the tummy tuck would be. I have done 3 hour tummy tucks and I have done 5 hour tummy tucks. The patients obviously did not have the exact same surgery though the name of the... more
+1

Safe mommy makeover should include only 2 procedures.

Hi. This has nothing to do with your mitral valve prolapse, which is not a problem.  Your list of procedures is too long for anybody to have at one time. Have the tummy tuck and the breast surgery, and leave the rest for a second stage.
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Mommy Makeovers Can Be Done In Several Stages

The most important consideration is what your own physician or cardiologist has to say about your suitability for surgery and, in particular, an 8 hour procedure. That is without question a lot of surgery and a long anesthetic time for an elective plastic surgery procedure.  Even if your doctors give you full clearance, you should give serious thought as to whether it should all be done in one operation or maybe broken up into two stages. You should go back and have another visit with... more
+1

Clearance

You would need to get clearance from your Cardiologist and or Internist and the Anesthesiologist who will be preforming your procedure.  If you were my patient I would also require you to stay over night in the surgery center or hospital for the first 24 hours for observation.
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Mitral Valve Prolapse - Safe to Have a Mommy Makeover?

If you were my patient I would require a "full" in writing medical clearance. Than if you were only allowing one operative session, I would require in hospital stay. If in office surgery setting a 2 or 3 session os needed. This is who I would manage your care. From MIAMI Dr. Darryl J. Blinski
+1

Usually not a problem

Mitral valve prolapse is usually not a contraindication for a mommy makeover surgery but each patient should be evaluated by a cardiologist to rule out other associated problems. If it is just a mitral valve prolapse it should be just as safe to perform surgery on you like any other healthy patient
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That's A Lot of Surgery

Again, the problem is not the MVP.  Surgery in patients with MVP who have been worked up and cleared by a cardiologist and/or internist usually proceed without problem.  You should be covered by an antibiotic and follow your plastic surgeons orders.  I would also separate the surgery into 2 sittings.  I would do the abdominoplasty and breasts at one sitting and the lipo at a second sitting.  Complications are highest in those patients having surgery longer than 6... more
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Mitral Valve Prolapse and Mommy Makeover surgery--the risk is not the MVP, but too much surgery!

Your preoperative physical should address whether the mitral valve prolapse (MVP) is an issue or not, and if it appears to be a concern, further evaluation and workup by a cardiologist can address these issues. In my experience, most patients with MVP are cleared for cosmetic surgery (though perioperative antibiotics are recommended, and are used anyway), and have no increased risks from this standpoint. Of greater concern is the fact that you are having so much liposuction in addition... more
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Mommy makeover and mitral valve prolapse

As with any major surgical procedure, patients need to have medical clearance, especially those with medical problems such as mitral valve prolapse.  Your internist and/or cardiologist can determine if you need any specialized testing for medical clearance.  You can also discuss with your plastic surgeon whether it would be preferred to do the surgery in either one or two procedures. 
+1

Too much Cosmetic Surgery and a Mitral Valve Prolapse

Regarding: "Mitral Valve Prolapse - Safe to Have a Mommy Makeover? The sugery is suppose to last 7 hourse and 45 minutes. I am having a tummy tuck,lift,implants,smart lipo on arms,chin,back ,hip and thighs. I have never been under and am extremly scared. Is this to much or to long? Any tips or recommedations will help.Thanks in advance." Mitral Valve Prolapse in itself may not be a contraindication for surgery. All it means is that the mitral valve does not close completely... more
+1

Mommy makeover and Mitral Valve Prolapse

This is alot of surgery and the planned procedure should be discussed in combination with your cardiologist. You may require pre-operative testing such as an echocardiogram or stress test. Peri-operative antibiotics may also be warranted if recommended by your cardiologist.
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