Will asthma interfere with my BBL and BA procedures?

Question

I have asthma. It is usually dormant during the day, however I may have problems with it during the night time from time to time. I have been doing a little cardio to help with it. Is there any other exercises you could recommend to help?

Larry S. Nichter, MD, MS, FACS · Answer

If your asthma is optimally controlled the risk is very small and you can undergo major surgery without significant asthma complications. Most anesthesiologists I have worked with will recommend that you take your asthma medicine the prior to surgery with a sip of water and bring your inhalers to the surgery center. In addition, steroids are given just prior to anesthesia in most patients any way which helps prevent asthmatic complications. On the other hand, if your asthma is poorly controlled, or you are steroid-dependent, you are at increased risk and therefore it is recommended that your asthma specialist provide any needed specific medical preparation prior to surgery including a written plan to give to your surgeon and anesthesiologist regarding asthma medication recommendations pre- and post-surgery. This will include a complete pre-surgical evaluation including pulmonary function test results, physical examination, and review of your medications and past medical problems. If your pulmonary function tests are not optimal your asthma doctor and/or anesthesiologist may choose to postpone surgery until your asthma is under optimal control prior to giving surgical clearance. In addition, it is advisable that you contact that anesthesiologist beforehand to discuss any issues that might arise and their management. . This is because surgery may cause an asthma flare or related bronchospasm during or immediately after surgery. Make sure you tell the anesthesiologist and your surgeon the amount and type of steroids you take so additional steroids can be given to prevent adrenal insufficiency which can result in a sudden blood pressure drop.#asthma#breastimplantswithasthma

Kenneth Hughes, MD · Answer

If the asthma is under control as stated by your internist or managing doctor, then the BBL and breast augmentation can be undertaken.I perform about 500  Brazilian buttlifts each year, and this   
procedure is the most surgeon dependent plastic surgery procedure.  Find
 a  plastic surgeon with ELITE credentials who performs hundreds of   
Brazilian buttlifts each year.  Then look at the plastic surgeon's   
website before and after photo galleries to get a sense of who can   
deliver the results.  Kenneth Hughes, MDLos Angeles, CA

Robert F. Centeno, MD, FACS · Answer

Asthma is not a contraindication to elective surgery if well controlled. It does not sound like your asthma is under control.  This can present problems during surgery with your anesthetic management.   Consult with your primary doctor to address this issue further.  Best wishes.

Wilberto Cortes, MD · Answer

If your condition is 100% control it should not be a problem. One thing to consider is if you are in steroids to control your asthma. Steroids affect the fat transfer which make it more likely for the fat to absorb.

Carmina Cardenas, MD · Answer

Asthma itself is not a contraindication of surgery, but you have to be a 100% controlled, specially on the exacerbations, and some cardio will help to improve the lung compliance. Walking and bicycling (spinning without resistance) will be the ideal. You may also tray with the devices for pulmonary impairment like inspirometers(which are totally inexpensive).  Also, probably you are candidate for regional anesthesia instead of general to avoid using the airway for anesthesia purposes and cause an irritative asthma.Have a great journey.Dr. Cardenas

Steven Wallach, MD · Answer

I think that it is important to share your  medical history with your doctor and then review this with the anesthesiologist assisting with the procedure. I have operated on many patients that have asthma.

George Lefkovits, MD - Account Suspended · Answer

If you have asthma you need to cleared by your internist before having surgery, We have operated on many patients with asthma after they have been well controlled and cleared by their internist. In some cases the internist and surgeon have to converse if there are still concerns. The anesthetist/anesthesiologist will often also need to be consulted.

Will asthma interfere with my BBL and BA procedures?

Answers (7)

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