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They don't rule you out. A more experienced surgeon will have a wider ability to care for people with medical problems. We here at Boris Cosmetic, between Dr. Gocken and Dr. Boris, we have 70 years of caring for patients under our belt. Dr. Gocken has done faceliffts on patients that have had heart transplants, that are on steroids, are chronic smokers as well as many other ailments. There is no substitute for experience.
Most patients that have chronic illnesses can have surgery they just need to be healthy to undergo surgery. As for also have a medial clearance by the treating doctor.
Patients with chronic diseases can undergo a facelift provided they are physiologically stable. Generally the plastic surgeon will confer with your physician. The same applies for breast augmentation.
It is possible to undergo a facelift even in a setting of some chronic medical conditions. Your plastic surgeon will need to discuss your proposed surgery and anesthesia with your medical doctor to properly assess and prepare you for the surgery. With proper preparation and proper surgical plan your facelift can be performed with reasonable risk profile.
Chronic disease don't exclude one from elective surgery. This is the reason why a pre-operative physical is performed when indicated by a person's medical history or age. The question is the severity of lung or kidney disease and whether any of those risk factors can be modified prior to surgery. For patients with any underlying medical conditions you will want your surgeon to communicate with your medical doctor and your anesthesiologist to ensure that you have an acceptably low risk of surgical or anesthetic complications. If you have a higher likelihood of complications, you might want to look at non-surgical alternatives to elective surgery. I hope this information is helpful for you.Stephen Weber MD, FACSDenver Facial Plastic Surgeon