I want breast implants with pulmonary embolism history...Possible?

Your surgeon is correct that breast implants involve much less risk for pulmonary embolism than does a much longer procedure such as a tummy tuck. However, if you had PE once, your risk is greater than the average person that you may get another. Your risk overall is small, but all precautions to prevent an embolism should be taken if you do plan to proceed. Some surgeons might use a blood thinner known as Lovenox as a precautionary measure. Good luck!

Pulmonary Embolism RisksPulmonary embolism is a rather rare event in
plastic surgery. The patient's risk for this complication should be properly
assessed and appropriate measures taken to minimize this risk. In you particular
case, hopefully you were properly assessed prior to your tummy tuck for the risk
of DVT/ PE and appropriate prophylactic measures were taken. Based on your
history most likely you should not be placed on blood thinners for your breast
augmentation. With proper selection of anesthesia and other considerations you
should be able to undergo breast augmentation without any problems.

With a prior history of a pulmonary embolism, you have a greater risk of developing another Venous Thromboembolism (VTE), although the risk is lower than in a patient who has a genetic clotting disorder. It is not a contraindication to having a breast augmentation as long as you thoroughly understand the risks and have discussed them with your physicians. You should have a medical clearance by your primary physician and communication between him or her and your plastic surgeon before proceeding with the surgery.Most plastic surgeons would utilize all of the available preventative measures: treatment based on a VTE risk assessment scale, intermittent leg compression stockings, good hydration, chemoprophylaxis (blood thinners), stopping any birth control pills or hormones for 1 month before the procedure. In addition, I would suggest an overnight stay in a hospital with appropriate monitoring.Following the advice of anyone on this or any other website who would presume to tell you what to do without taking a full medical history, examining you, feeling and assessing your tissue tone, discussing your desired outcome and fully informing you about the pros and cons of the procedure would not be in your best interest. Find a plastic surgeon that you are comfortable with and one that you trust and listen to his or her advice. The surgeon should be certified by the American Board of Plastic Surgery and ideally a member of the American Society for Aesthetic Plastic Surgery (ASAPS). You should discuss your concerns with that surgeon in person.Robert Singer, MDFACSLa Jolla, California