Liver damage from alcohol- would this effect getting my breast implants removed?

Question

Hi I'm thinking of getting out my breast implants (large size) I had it on 2019. I want to take it out and be healthy again. I want my natural body. I keep thinking for last two years I'm going to die during the surgery or be in a coma. I have no support around me no friends or anything. I am honestly very scared to die and Leave this earth! Would having a liver damage ( I don't need a transplant or anything like that) effect the local / general anesthesia? Should I go forward with surgery? Thx

Robert M. Wald, Jr., MD · Answer

Removing implants is not a difficult surgery. If a breast lift and capsulectomy is performed at the same time, this adds more time and difficulty to the procedure. I would consult with your doctor before any surgery is done. General anesthesia is extremely safe even with some underlying medical conditions. Local anesthesia is another option for you. I would highly recommend you proceed with the surgery following medical clearance.

Alan Gonzalez, MD, FACS · Answer

Hello @TokiyoC, thank you for your question. egarding the potential impact of liver damage from alcohol on getting breast implants removed. To make an informed recommendation, more information is needed about your specific case. A consultation is vital to discuss your options and establish a surgical plan that meets your needs and expectations. about anesthesia the safest way to go is general anesthesia which allows to perform surgery removing the implants and the capsule that surrounds it, to avoid future inflammatory processes. However, it's important to have clearance from your primary care physician prior to undergoing surgery, as they can provide valuable insight into any potential risks or concerns related to your liver damage. I link a video to shed more light.  Best wishes! Alan Gonzalez MD, FACS. American Society of Plastic Surgery Member (ASPS),   International Federation for Adipose Therapeutics and Science” Member (IFATS), Colombian Society of Plastic Surgery member (SCCP).

Shaher W. Khan, MD · Answer

Hello, thank you for your question. I am really sorry that you are feeling this way, but I want to assure you that your health and well-being are the most important things, and it is great that you are reaching out to explore your options. I have attached a video that answers your question in detail. It's understandable to feel scared, especially when facing something as significant as surgery. Your feelings of fear about the surgery, your health, and the potential risks are valid, but they don't have to determine your next steps. By consulting with professionals&mdash;surgeons, anesthesiologists, and mental health support&mdash;you can get a clear picture of the risks and steps involved.
Ultimately, the decision is yours to make, and it's okay to take your time. Just make sure you're making an informed decision that aligns with your long-term well-being and peace of mind.

Daniel Barrett, MD · Answer

Dear TokiyoC,
it is hard to tell for sure without an examination. Generally speaking, it is possible to remove implants under local anesthesia. If you are considering surgery, I would suggest you consult a board-certified plastic surgeon. Only after a thorough examination, you will get more information and recommendations.
Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Zoran Potparic, MD · Answer

Implant removal is a simple surgery and, if needed, it may be done in local anestesia. However, if you have large implants, it is very likely that you will need a breast lift to end up with properly shaped, symmertic breasts. In that case, general or MAC ansethesia may be needed. It is best to consult your medical doctor and/or gastroenterologyst and plastic surgeon to see whether your liver function will be an issue. Hope this helps.

Heather Vande Ven, DO · Answer

If you have liver damage from alcohol consumption, it's essential to consider how it might affect various medical procedures, including breast implant removal. Liver damage can impact your body's ability to metabolize medications and anesthesia, which are crucial factors to consider before undergoing any surgery.Here are a few points to keep in mind:1.) Anesthesia: Anesthesia is typically used during surgery, and your liver plays a crucial role in metabolizing drugs used for anesthesia. If your liver is significantly compromised, it may affect how your body processes anesthesia, potentially increasing the risks associated with the procedure.2.) Medications: You may be prescribed medications before, during, or after the surgery to manage pain and prevent infection. Liver damage can affect the way your body processes these medications, potentially leading to complications or reduced effectiveness.3.) Healing and recovery: A healthy liver is vital for the overall healing and recovery process after surgery. If your liver is compromised, it may take longer for your body to heal and potentially increase the risk of complications.Before undergoing breast implant removal or any surgical procedure, it's essential to discuss your liver condition and overall health with a medical professional, such as a surgeon and anesthesiologist. They can evaluate your specific situation, consider the extent of your liver damage, and make recommendations based on your individual needs. Depending on your liver health, they may adjust the anesthesia, medications, or surgical approach to minimize risks.Remember, it's crucial to be honest and transparent with your healthcare providers about your medical history, including any alcohol-related liver damage, as this information will help them make informed decisions about your care. They can provide you with personalized guidance and ensure your safety during the surgical procedure.

Jeremy S. Hurren, BSc, MBBS, FRCS (Plast) · Answer

Hi I am sorry that you have liver problems and concerns about your implants. Your question does not have a simple answer that could be given in this forum. I advise you to discuss your concerns about your implants with a surgeon who is experienced in breast implant surgery. If you want to go ahead with surgery you could discuss the risks with the specialist who you are under for your liver problems. Alternatively you could have a consultation with an anaesthetist with an interest in peri-operatvie care who would be able to advise you on your level of risk from an anaesthetic and surgery.You may also find it helpful to speak with your GP to ask about the severity of your liver damage. You could ask for copies of your LFTs (Liver Function Tests). LFTs are a series of enzymes in your blood that give an indication of your liver's health. It is just a blood test. It would also be helpful to have the results to any blood clotting tests you may have had (INR & APTT). With liver damage the liver may not make sufficient clotting factors so this is an indication of liver problems. If you are having surgery it is important that your blood clots normally otherwise you would be at risk of bleeding. It would be helpful for you to have copies of these blood tests to take with you to a consultation about your implants or with an anaesthetists. I hope this is of help to you even if it is not answer to your question.Best wishes.

Connie Hiers, MD, FACS · Answer

You will need a medical clearance for surgery from your medical doctor. If you are healthy enough for surgery and want to proceed, then get it done.  If you are worried about dying during surgery, then don't have elective surgery.

Ahmad H. Ahmadi, MD · Answer

Your gastroenterologist will need to clear you for surgery.  Poor liver function can have detrimental effects on blood coagulation and anesthesia.  You can have the implants removed under local anesthesia also.  Regardless, You should have a board-certified plastic surgeon examine you for further recommendations.

Camille Cash, MD · Answer

You will need to discuss your health history with a board certified plastic surgeon.  Labwork may be ordered to assess the status of your liver function.  You may also require clearance from your specialist before proceeding with surgery.  These criteria will influence whether or not it is safe for you to have implant removal.

Liver damage from alcohol- would this effect getting my breast implants removed?

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