Breast Augmentation with High Blood Pressure

Question

I am having breast surgery in 4 weeks, but have high blood pressure, of 135/95, will they still be able to procide with the operation?

Otto Joseph Placik, MD · Answer

You should first determine the cause of the high blood pressure because it may be an indication of underlying disease and/or could be easily treatable. Over the long term this has tremendous implications for you overall health and can lower your risk of heart disease or stroke. Medications can be used in the operatve period to control your blood pressure and is advised.

Brian K. Reedy, MD · Answer

Thanks for your question!
Your BP will need to be under control prior to having surgery. Reach out yo your PCP for guidance. Let your surgeon know you have issues with your blood pressure. Best wishes!

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!

Sam Speron, MD, FACS · Answer

You will need clearance from your primary doctor. You should definitely have this checked out before you go ahead with surgery, especially one that is elective and not "necessay." It is just not worth the risk. It could be treated by something as simple as changing your diet or it be the start of heart disease which is very serious and complicates things. 
So it is best to get it under control. Once you figure out and correct what the underlying problem is, you should be ok to proceed with surgery providing that everything else is ok.
Best regards,
Dr. Speron

Armando Soto, MD, FACS · Answer

Hi there-
Let's put things into perspective...
Plastic surgery is something that can be very healthy and provides a positive change in the lives of many women every year...
But it is not like a heart operation for someone who needs one, or a mastectomy for someone with cancer... in other words, it is not NECESSARY.
Because that is the perspective I believe in, I don't believe in taking ANY unnecessary risks when I perform surgery.
Therefore, I would recommend you not have your desired surgery until your medical doctor has evaluated your hypertension for possible causes, and the two of you have gotten it under good control.
Once your blood pressure is controlled, there should not be any reason you cannot proceed with surgery to a lovely outcome in a safe manner.

Tom J. Pousti, MD · Answer

Well controlled hypertension is not a contraindication to tummy tuck surgery and/or other elective plastic surgical procedures. Always best to check with your primary care physician for “medical clearance” prior to surgery. Managing your anti hypertensive medications around the time of surgery will be important. In my practice, I prefer the use of general anesthesia provided by a board-certified anesthesiologist. I hope this, and the attached link, helps.

Steven Wallach, MD · Answer

It is extremely important for you to have a thorough medical work-up and be properly medicated to keep your blood proessure under control. High blood pressure can lead to many complications. Besides risks like stroke, etc.. Focusing on the breasts, high blood pressure may lead to a hematoma in the implant pocket which is not a good thing and would require additional surgery.

Nina S. Naidu, MD, FACS · Answer

You should speak with both your plastic surgeon and your primary medical doctor. The cause of your high blood pressure should be determined and then controlled prior to any elective surgery. This will help you both in the short term with reducing risks related to your surgery, and also in the long term with reducing long-term risks related to chronic hypertension. Your surgery may need to be delayed a few months as this gets sorted out, but this will assure the safest course for you. Good luck and best wishes, /nsn.

C. Bob Basu, MD, MPH, FACS · Answer

I concur with my colleagues. It is important for you to get evaluated by an Internist (Internal Medicine M.D. or primary care physician) regarding your borderline high blood pressure (hypertension) of unknown etiology. That needs to be worked up and managed first before considering any elective cosmetic surgery.

Kamran Khoobehi, MD · Answer

You have borderline hypertnsion and this need to be evaluated by your doctor. Youmay respond well to salt reduction in your diet or may need medication. The problem is not your current blood presuure of 135/95 ,but possble higher pressure when you come out of anesthesia. The main concern is the bleeding post surgery and also your health long term. Please treat your blood pressure before surgery.

Breast Augmentation with High Blood Pressure

Answers (14)

More Breast Augmentation Questions

WE SEND PRETTY
EMAILS

Answers (14)

More Breast Augmentation Questions

Armpit Incision for Breast Augmentation Because Nipples Are Small?

Cord-like Feeling Running Along Crease After Breast Augmentation?

Best Type of Breast Augmentation for Petite and Athletic Woman?

Nipple + Areola Too High After Breast Augmentation with Lift

Will Insurance Cover Correction of Breast Asymmetry?

How Do Breasts Look Immediately After Augmentation?

WE SEND PRETTY EMAILS

WE SEND PRETTY
EMAILS