Breast Augmentation - are these lab results okay to proceed? (Photo)

Question

Can I have a breast augmentation if: My blood count cell is 5.18H My Hematocrit is 48.3H And My MCHC is 30.6 L What does my lab reasults means ?

Semih Yildiz, MD, FEBOPRAS · Answer

In my opinion, these results do not automatically mean you cannot have a breast augmentation, but they do need to be reviewed by your surgeon and anesthesia team before any elective surgery. A mildly high red blood cell count and hematocrit can sometimes be related to dehydration, smoking/vaping, living at altitude, sleep apnea, or other medical factors. A low MCHC can sometimes point toward an iron-related issue, but it has to be interpreted with the rest of the blood count and your medical history.
I would not make the decision based on one screenshot alone. Your surgical team may repeat the CBC, check whether you were well hydrated, and ask about clotting history, lung/heart issues, medications, and smoking. If the hematocrit remains elevated or there is any concern, medical clearance from your primary doctor or a hematologist may be needed before proceeding. For a cosmetic breast augmentation, it is better to delay briefly and clarify the labs than to move forward with unresolved questions.

Daniel Barrett, MD · Answer

Dear Pioneering225035,

every plastic surgeon has his own preoperative protocol which he recommends to his patients. I would suggest you to discuss this with your plastic surgeon.

Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Sameer Karkhanis, MS, DNB · Answer

Hello. Your results are  normal to proceed with breast augmentation surgery. Wishing you all the very best.
Thank you.

Regards,
Dr Sameer Karkhanis, 
Centre for Cosmetic Surgery, Mumbai, India

Muge Sevindik, MD · Answer

Your blood tests are normal. you can have breast augmentation safely according to this blood test results.

Donovan Rosas, MD · Answer

These lab results do not appear to be very concerning. The elevated Hct may be indicative of mild dehydration. Taken in isolation, this is unlikely to preclude surgery.

Ultimately, the opinion of your operative surgeon is most important.

As always, discuss your concerns with a board certified plastic surgeon (ABPS).

Ted Eisenberg, DO, FACOS, FAACS · Answer

Most likely if you were my patient and if you're in good health and all your other tests were normal.. But, that result is one of many factors in deciding the safety for you and the surgery. Best to have your surgeon evaluate all of you and decide with you what is best. Dr. Ted Eisenberg, Board Certified Plastic Surgeon and Author. RealSelf Distinguished Hall of Fame Inductee. Philadelphia, Pa., USA

Jacob Carlson, MD · Answer

I don't see anything in the laboratory work-up that would preclude you from having a breast augmentation.
Your red blood cell count is just slightly higher than the normal range. That's not concerning. It just means that your body has made a higher number of red blood cells than "normal."
Your hemoglobin and hematocrit are similarly on the higher side of normal, but that's not bad. You may have been a little dehydrated the day your labs were drawn. Again, yours is slightly lower than the "normal range," but not to a concerning level. 
The mean corpuscular hemoglobin concentration (MCHC) is a measure of the density of the red blood cells' hemoglobin. It just means that your red blood cells are not concentrated or packed with a much hemoglobin as most of the population. (To compensate for that, your body may make more red blood cells, which would increase your red blood cell count - which is what I think you're seeing in your labs).
Overall, based on these results, there shouldn't be any concern with proceeding with a breast augmentation.

Camille Cash, MD · Answer

Your surgeon will be the one to determine if it is okay to proceed with your surgery.  However based on the posted values there doesn't seem to be anything to indicate that you would need to postpone.  Your surgeon will discuss these with you.

Darryl J. Blinski, MD · Answer

Why are you not asking your chosen operative surgeon, his/her opinion is the ONLY one that matters! In my practice, I would question you about your bleeding history and ask to review older blood tests. Most likely I would proceed with your surgery .

Breast Augmentation - are these lab results okay to proceed? (Photo)

Answers (9)

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