Can I Have Breast Reduction Surgery While Taking High Blood Pressure Medicine?

Question

I Am 56 Yrs. Old and Have (Controlled with Meds) High Blood Pressure.  I had considered breast reduction when I was younger, but decided it was too much trouble (I wish I had done it now) I am having severe back problems and problems with rashes and scalding under my breasts. Please help

Lewis Albert Andres, MD · Answer

Hello! Thank you for your question! There are a few medical comorbidities that contribute to a higher risk during any surgical procedure including infections, wound complications, delayed wound healing, bleeding, anesthetic risks, etc. Hypertension is one that is known to have an increased risk during a procedure. There are a number of both systemic and local host factors that can contribute to high blood pressure.  Hypertension itself is not a true contraindication to having any surgical procedure, but it should always be controlled.  Risks that coincide with high blood pressure, such as coronary artery disease, pulmonary issues, varicosities, etc. can certainly be worrisome as the risk for other issues including MI, stroke, etc. can be severe.  Complications such as bleeding and postoperative hematomas may be increased and hemostasis obtained well.  That being said, well-controlled high blood pressure should equate a minimal increased risk for the above and surgical procedures still safe and a reasonable decision. You should ensure adequate blood pressure control always, but also obtain medical clearance from your primary care physician that you are at an acceptable risk for undergoing a surgical procedure. For elective or aesthetic procedures, your surgeon may want to get you to a baseline level prior to consideration for a procedure.  Discuss all of your medical comorbidities and medication with your surgeon prior and discuss these risks.  Also, discuss this with your anesthesiologist as proper monitoring and medications will be watched closely.  This procedure should still be very safe for you and hope for an uncomplicated course with an excellent result!  Hope that this helps! Best wishes!

Vincent N. Zubowicz, MD · Answer

Hypertension, as long as it is controlled, is not a contraindication to breast reduction. Some tests may be necessary to make certain the patient is unsatisfactory health.

Jeremy Hunt, MBBS, FRACS · Answer

With controlled blood pressure there is no reason you should not be a candidate for a breast reduction.

	 

	If the blood pressure was poorly controlled for a long period thee may be other health issues that need to be considered.  An Anaesthetist would assess this pre operatively and advise you if there were concerns but controlled blood pressure alone is not reason not to have a breast reduction.

	 

	Jeremy Hunt

Tom J. Pousti, MD · Answer

Thank you for the question. Well-controlled hypertension will likely not be a contraindication to breast reduction surgery. See your internist for a “medical clearance”;  this will be helpful to your chosen plastic surgeon.

	 Best wishes;  hopefully your only regret  after the breast reduction procedure will be not having had it performed earlier in life.

Joshua Cooper, MD, FACS · Answer

As long as your blood pressure is controlled with medication prior to your operation, it is acceptable to undergo a breast reduction.
	
		High blood pressure (hypertension) can place patients at increased risk for developing bleeding and a hematoma (collection of blood after a procedure).  However, as long as hypertension is controlled with medications, the risk of hematoma should be about the same as any other patient.
	
		Best of luck to you!

Can I Have Breast Reduction Surgery While Taking High Blood Pressure Medicine?

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Can I Have Breast Reduction Surgery While Taking High Blood Pressure Medicine?

Answers (10)

Answer: Breast Reduction with Hypertension?

Answer: Breast Reduction with Hypertension?

Answer: Breast Reduction and High Blood Pressure

Answer: Breast Reduction and High Blood Pressure

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Everything you need to know about Breast Reduction

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