Will a coronary artery disease prevent me from being a candidate for belt lipectomy? Healthy 54 y/o. (photo)

Question

I'm 54 years old. BMI 27. Lost over 100 pounds so I have excess skin all around. In 2020 I was diagnosed with Coronary Artery Vasospasms on an angiogram where they visualized the spasm. I was given a bit of Nitro and it resolved instantly. Since that time, I have quit smoking and have resolved all my coronary spasms. My cardiologist says he is not worried about my having surgery at all because I am healthy now. Will I still get refused, and why?

Carmina Cardenas, MD · Answer

Most likely your coronary disease was induced by smoking and obesity. Now that you have quit smoking and have lost weight, you have eliminated the most important risk factors but it will be very helpful if you reach a BMI below 27-28 before surgery to be in the safe side. 
You will be a great candidate for Lower body lift 360 in order to remove the excess of skin on your abdomen, flanks, and very importantly a real buttocks lift and auto augmentation to create a rejuvenated tighter and smoother buttocks preserving your beautiful natural curvaceous body shape. 
It will be absolutely necessary to be fully checked by your cardiologist, give the clearance and give instructions to follow while in surgery and after surgery. 
Be encouraged. 
Dr. Cárdenas

J. Timothy Katzen, MD, FACS · Answer

Hello, thank you for your question regarding the 360 circumferential lower bodylift and coronary artery disease. Congratulations on your weight loss! What a great accomplishment. Now that you have lost 100 pounds, stopped smoking, and the fact that your cardiologist has given you clearance, I think you are ready for your 360 circumferential lower bodylift. I do NOT think you will get refused for your lower body lift solely based on a history of coronary artery disease. I specialize in reconstructive plastic surgery after weight loss. If you have any more questions regarding the lower body lift, 360 circumferential lower body lift, belt lipectomy, belt abdominoplasty, or belt dermolipectomy please contact my office. Since the body lift is a big procedure, please seek an experienced, board certified plastic surgeon with significant experience performing the lower body lift. Do your research. Make sure they have performed at least 100 circumferential lower body lift surgeries and have the before and after pictures to prove it. Carefully examine their before and after pictures and check their reviews on RealSelf. If you cannot find an experienced, lower body lift surgeon in your neighborhood, consider traveling out of state if you must. Sincerely, Dr. Katzen. (“Verified” Plastic Surgeon, President of the American Society of Bariatric Plastic Surgeons, certified by the American Board of Plastic Surgery, Fellow of the International Society of Aesthetic Plastic Surgery, American College of Surgery, and International College of Surgery and member of the American Society of Plastic Surgery, American Academy of Cosmetic Surgery RealSelf Hall of Fame, and RealSelf Doctor Advisory Board for Medical Review and Consumer Panel.)

Daniel Barrett, MD · Answer

Dear Easygoing9646,
it is hard to tell for sure without an examination. You would need to get clearance from your cardiologist prior to surgery. If you are considering surgery, I would suggest you consult a board-certified plastic surgeon. Only after a thorough examination, you will get more information and recommendations.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Camille Cash, MD · Answer

Congratulations on your impressive weight loss and quitting smoking! If you are healthy and your cardiac issues have resolved there is a good chance you will be able to proceed with plastic surgery.  A clearance from your cardiologist may be required and your surgeon may require other preventative measures be put in place for your safety.

Ahmad H. Ahmadi, MD · Answer

Good job on quitting smoking,  As plastic surgeons we put safety first.  If your cadiologist has given you the clearance, you should be OK.  I recommend that you have your plastic surgeon and cardiologist discuss your case and see if any additional tests need to be done before your surgery.

Derek Fletcher, MD · Answer

If your cardiologist performs a pre operative examination and determines you are low risk and you are otherwise nicotine free and in good health, then you may be a good candidate for surgery. Another important data point is whether or not you are at your goal weight. If not, than most surgeons recommend achieving and maintaining your goal weight for a minimum of 6 months prior to surgery.

Will a coronary artery disease prevent me from being a candidate for belt lipectomy? Healthy 54 y/o. (photo)

Answers (6)

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