Breast Augmentation with High Blood Pressure

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.

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.

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!