Rhinoplasty: Q&A
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Blood Work Necessary Before Rhinoplasty?
One rhinoplasty surgeon I am considering has not requested me for blood/lab work. Is it standard procedure? Before him, I spoke to many other surgeons who all requested me blood work. I was only asked if I am healthy. Thank you for your information.
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14 Doctor Answers |
Asked by
Heather73
in NYC
+1
When blood work is necessary before rhinoplasty
As long as the patient is in a good state of health there is no need for any blood work. The only time blood work would be necessary prior to general anesthesia would be if the patient were on blood thinners or diuretics.
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Blood work is always necessary before Rhinoplasty
ALWAYS! No matter what I require a blood and urine panel before any Level II or III (sedation or general anesthesia) operation. That is just good medicine. In 31 years of Plastic surgery practice you would not believe the medical conditions found by just requiring preoperative testing. From diabetes to urinary infections to pregnancies to lupus to bleeding disorders. Just to mention a few. Maybe it is me but I always want safety. Regards!
+2
Blood or Lab Work before Rhinoplasty
I always get blood work before Rhinoplasty. Over the past 30 years I have multiple examples which support my personal philosophy. I once saw a lady from Mexico City who came for a rhinoplasty. Pre-op labs showed a blood-clotting disorder. She declined to tell me she was on coumadin ( a blood thinner ) to treat inflammation of her lower leg because she knew I wouldn't do the surgery. Another time we diagnosed an unknown, inherited disorder in a patient's clotting factors. Considering the...
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No demonstrable benefit from lab work.
Several studies, including a large study at Mayo Clinic in 1997, show no benefit to pre-operative lab testing for otherwise healthy adults (except for a pre-op pregnancy test, of course, in females of child-bearing age). Although some surgeons get blood work, there is no scientific basis behind it.
Quoting from the Mayo study:
"We conclude that patients who have been assessed by history and physical examination and determined to have no preoperative indication for laboratory tests can...
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+2
Blood work is not a requisite for Rhinoplasty
Heather,
The only test that really required for a young woman is a pregnancy test. If you have no history of bleeding problems, bruising or anemia, then blood testing is like wearing a belt and suspenders. It doesn't hurt to get it done, but it's not a requirement in this patient group. Good luck!
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Young and healthy patients typically do not need blood work for cosmetic surgery or rhinoplasty
If you are young and healthy, that is less than 40, no blood work is required by the American Society of Anesthesia for people having elective outpatient surgery. However, if you have any history of bleeding problems or anemia (low blood count) then it would be appropriate to obtain preoperative blood studies. We do require women of child bearing age to have a urine pregnancy test prior to undergoing any elective surgery or if you are over 40 a preoperative EKG. Obviously, if you have any...
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No reason for blood tests on young, healthy patients before Rhinoplasty
I agree completely with Dr. Pearlman. There is no reason to do blood tests on healthy young men under age 35 (American Society of Anesthesia (ASA) risk class I). The overwhelming number of such tests enrich the labs, do not benefit either the patient or the surgeon and are done out of blind fear of lawyers. 99.999% of such "routine" tests are negative and the remainder are false results which force a repeat tests which in turn is negative and does not impact on the surgery. With...
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Blood tests before rhinoplasty
Not all doctors or hospitals require blood work for young healthy individuals. For my office OR, I obtain blood work just to be on the safe side.
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There are a few blood tests that are necessary before rhinoplasty
Studies have shown that standard blood tests aren't really necessary for a man under 35 as long as you are healthy and don't have any underlying medical conditions. This is a standard set by the national Anesthesia society. A good screening medical history should be sufficient to discover any major conditions that would require blood tests and/or a clearance from your primary care physician.
For women, the standard is to get two blood tests. The first is an HCG; this is a blood test to...
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Rhinoplasty and Pre-Operative Lab Work
Hi Heather,
Accredited operating rooms and anesthesiologists require at least minimal lab work a few days before surgery. Although 99.9% of the time there is no problem, it's that one case that can cause a disaster. It is a good idea to have your lab work checked before your surgery.
Good luck and be well.
Dr. P
+2
Rhinoplasty
Hi Heather,
Every surgeon, surgical facility and hospital will have different requirements for preoperative testing.
Most of the requirements are not based on medical facts but precautions to avoid litigation.
In general, patients under 40 without any medical problems or history of bleeding disorders do not need any testing. Thereafter, healthy patients 40+ should have at least an electrocardiogram EKG.
Again, everyone has different criteria.
Best,
Dr.S.
+2
Avoid short cuts in Rhinoplasty
Although the odds are you will be fine without blood work, most plastic surgeons who work in certified ORs (even office ones) require some sort of pre op testing. The most common is a blood count. Sometimes with positive medical histories, pre op medical clearance can be required. Better to be safe than sorry.
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Blood work before rhinoplasty
Hello,
Every physician has their own protocol. With my patients, I require a complete physical and blood work prior to surgery so that I am aware of any medical issues one may have. Hope this helps answer your question. Thank you and best of luck.
Dr. Nassif
+1
Medical clearance absolutely necessary before rhinoplasty.
Hi.
1) Just based on your story, my advice is go elsewhere. This is a serious matter about your health and safety.
2) It is safe to have your rhinoplasty ONLY in an ACCREDITED office operating room or in a hospital. In both locations, it is mandatory to have medical clearance before surgery. This means a history and physical by your doctor, blood work, and possibly other tests based on your age and general health. If we did not require this, we would lose our accreditation.
3) ...
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