Getting a Breast Augmentation with Brain Aneurysms?

You are wise to ask the question, since elective surgery is, well, elective, and would not be appropriate if it substantially increased your risk of stroke, brain bleed, or death.

You and your physician already know the exact size, location, and number of these "ballooned-out" areas of your brain arteries, but no one knows exactly just how much pressure variation would be necessary to cause one of these to "blow out." And if this occurred, just how serious (or fatal) it could be.

You should already have an idea of limitations you and your doctor may have discussed regarding everyday activities that could cause blood pressure increase and potentially rupture brain aneurysms--things like sports, sexual activity, etc. Elective surgery needs to be another category within these discussions.

Anesthesia providers can maintain blood pressure reasonably accurately in the operating room, but there are normal fluctuations, potentially dangerous ones, even in individuals without brain aneurysms, and more so in you.

If you were my patient, this would be a discussion between me, my anesthesia provider, your physician, and of course, you. Everything in life has risks. We would just want to be as sure as possible (no guarantees) we are not taking excessive or unreasonable risks in order to enlarge your breasts. Best wishes! Dr. Tholen

Bottom line here... your team of doctors hast to risk stratify your situation and decide if you are low risk, moderate risk, or high risk for surgery. This is not a simple yes or no and you are good to go. You need all of your doctors to work together with you here. Ultimately your surgeon has to feel confident and comfortable with performing the surgery.

This is a question you should be asking your Neurosurgeon or a neurologist.  They would be better suited to address the risks of anesthesia and surgery with your present condition.  These are relatively small aneurysms and I do not think it would be a problem but I recommend covering all bases.