Tachycardia sinusalis and rhinoplasty. Is this a contraindication?

Surgeons do surgery and your internist or cardiologist needs to review your EKG to give you clearance for a rhinoplasty. Experience surgeons will insist upon this prior to doing surgery.

You need a pre-operative evaluation and medical clearance from your primary internist or cardiologist. There should be discussion among that physician, the anesthesiologist, and the plastic surgeon before the surgery to assure safety which should be the primary concern in any procedure. Robert Singer, MD  FACSLa Jolla, California

You said that your "doc" says that this is most likely due to anxiety, and they may be right, but it makes a big difference what kind of "doc" has reviewed this.  At a minimum, you should have your own family doctor or internal medicine specialist take a look at this, and let them know you are considering elective surgery.  They will be able to tell you whether you should have a cardiologist review your situation and determine if additional studies (such as an ultrasound) will be helpful.There are a lot of things that can cause tachycardia (rapid heart beat), from the normal response to exercise or anxiety to abnormal electrical conduction pathways which could cause big trouble down the road, but which, if treated early enough (often without surgery) can be simply fixed.Finally, I recommend a physician anesthesiologist for your surgery, and if there is any question, the anesthesiologist can help tell you the best way to proceed so you will have the best chance for a safe surgery.So, if the only "doc" who has reviewed this is your surgeon (especially if they have not had a full general surgical training prior to training in plastic surgery, but even if they have), and if there is still any question, get another "doc" to take a look.

It is important to show the EKG to your family doctor/ cardiologist and get clearance from them prior to undergoing elective cosmetic surgery. There are some medications that can also control tachycardia. It is also important to have your anesthesiologist and surgeon review the EKG prior to the  rhinoplasty surgery

Hi, even though all of the plastic surgeons would have some idea about the contraindication, it's best to consult the anesthesiologist who is going to give you anesthesia. Yet it's not a contraindication if it's under control. My best 

Dear cherryblossom, In these situations my anesthesiologist would need a pre-operative evaluation from another outside physician (internist, cardiologist) who would evaluate you for surgical clearance. Once this has been done there would be a discussion between my anesthesiologist and the clearing physician. If the okay is given then you would be considered a candidate for the procedure. Best regards, Michael V. Elam, M.D.