What is my blood tested for at my breast reduction pre-op appointment?

Congratulations on your decision to proceed with breast reduction surgery; this operation tends to be one of the most patient pleasing operations performed.

You will find, that depending on the practice, your age, medical conditions, that the preoperative workup ( bloodwork, tests…) will vary.  Generally speaking, for a healthy young female the “necessary” blood work can be minimized.  A pregnancy test may be indicated.

 It will be very important for you to communicate your goals, concerns, and questions with your plastic surgeon. I would suggest that you write these down before your preoperative appointment. In my practice, I ask patients to collect "goal  pictures”  of breasts which they like, breasts that are too big, and breasts that are too small as well.  I find that the use of pictures is more helpful than the words “natural” or "proportionate” etc., which can mean different things to different people.

 Again, your preoperative visit is a time to address any concerns that may cause you preoperative anxiety. Sometimes, I find it helpful to arrange for preoperative patients to speak with postoperative patients as well.

 Best wishes;  hopefully you will be very pleased with the outcome of your planned procedure.

During your pre-operative appointment for a breast reduction, your blood may be tested for various factors to ensure that you're in good health and that the surgery can proceed safely. Common tests conducted may include:
1. Complete Blood Count (CBC): This test measures the levels of different types of blood cells, such as red blood cells, white blood cells, and platelets. It helps to detect conditions like anemia or infection.
2. Blood Typing: Knowing your blood type is crucial in case you require a blood transfusion during or after surgery.
3. Blood Chemistry Panel: This panel typically includes tests for electrolytes, kidney function, liver function, glucose levels, and sometimes cholesterol levels. It provides a comprehensive overview of your overall health and helps identify any underlying medical conditions that may affect the surgery or your recovery.
4. Coagulation Studies: These tests assess how well your blood clots, ensuring that you don't have any clotting disorders that could increase the risk of excessive bleeding during surgery.
5. Screening for Infectious Diseases: Depending on your medical history and the protocols of the surgical facility, you may be screened for infectious diseases such as HIV, hepatitis B and C, and others.
6. Pregnancy Test: If applicable, a pregnancy test may be performed to ensure you're not pregnant before undergoing surgery, as pregnancy can affect the safety and outcome of the procedure.
Your plastic surgeon or healthcare provider will determine which specific tests are necessary based on your individual health status, medical history, and the requirements of the surgical facility. These tests are conducted to ensure your safety during the surgery and optimize your recovery process.

Dr Chahin has described the PAT regimen very well.  PAT is required in all the facilities in which I practice for cases involving sedation.  The hospitals mandate it, as well as EKG and medical clearance.  This is completely appropriate given the length of the procedure.  In terms of the preop consult, this is a time for the surgeon to go over the operation once more, discuss postop instructions and to insure a meeting of the minds with respect to sizing.  Management of drains postoperatively, pain management, timing of the postop visit,and  what to look for in terms of problems which require the surgeon's immediate attention are also discussed.