Breast Augmentation with High Blood Pressure

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!

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

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.