What labs are required before breast augmentation or liposuction 360 & will I need an MRI?

The exact preoperative tests depend on your age, medical history, medications, BMI, smoking status, and whether you are having breast augmentation alone, liposuction 360 alone, or both together.

Common tests before elective surgery often include a CBC, basic metabolic or comprehensive metabolic panel, pregnancy test when applicable, and sometimes coagulation studies. Depending on your history, your surgeon or anesthesiologist may also request an EKG, chest X-ray, medical clearance, or additional labs such as A1c, thyroid testing, or nicotine testing.

For breast augmentation, an MRI is not routinely required before surgery for most patients who do not already have implants and have no breast symptoms. Breast imaging may be recommended based on age, personal or family history, a breast mass, abnormal exam, or your local screening guidelines. In those cases, mammogram or ultrasound is more commonly used first. MRI is usually reserved for specific indications, such as evaluating implant rupture in someone who already has silicone implants or clarifying certain breast findings.

For liposuction 360, your surgeon will also consider the planned volume, anesthesia type, and overall safety. Ask your surgeon for a written pre-op checklist tailored to your procedure and health history, and make sure all testing is reviewed before surgery.

Dear shaylalayala,
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, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Thanks for your question!
It depends on what the surgeon requires and your age. Usually it is a CBC & possibly a mammogram.
Check with your surgeon for his/her protocol. Best wishes!

Pre operative screening will largely depend on your surgeon and anesthesiologist preferences. Generally a mammogram is done for patient that are high risk or age appropriate. Other testing would depend on your pre surgery health and other factors.

Hi, thank you for sharing your question. The type of bloodwork or studies that need to be done before a procedure are unique to each patient and their surgeon. After your doctor evaluates you, he/she will let you know. Without knowing your history or examining you, it’s not something that can be predicted.

The specific labs required before breast augmentation or liposuction 360 can vary based on your health and the surgeon’s preferences. Typically, basic tests like blood count, coagulation profile, and metabolic panels are conducted. An MRI is not typically a routine preoperative test for these procedures, but your surgeon may recommend it based on individual factors or specific medical history. It’s crucial to consult with your surgeon to determine the necessary preoperative assessments tailored to your case.

Labs prior to surgery are determined by the surgeon based on surgeon protocol and patient medical history. All women of child bearing age will have a pregnancy test prior to surgery. An MRI would not typically be a needed test.

Every surgeon may have a different set of labs he, she, or anesthesia requires. For my facilities, I get a CBC, complete blood count, plus a PT to check your clotting status, and a HIV screen to make sure you are not in the active phase. If you are at least 40 and have not had a mammogram in the past 2 years, or you are over 35 with breast cancer prevalent in your family, then we order a mammogram. I do not routinely order an MRI unless the radiologist recommends such. Plus, insurance does not cover an MRI without a mammogram and ultrasound being done first and recommended by a radiologist.

Each surgeon and or facility will have their own protocols. On young healthy people we don’t order any tests before surgery except a urine pregnancy test on the day of surgery for all women.
Best,
Mats Hagstrom, MD

We require complete bloodwork, chest x-ray, ekg and breast ultrasound/ mammogram for these surgeries