Can I get a rhinoplasty if I have a BMI of 35? I am healthy and have no illnesses

Question

Can a person whose healthy no illnesses such as hypertension, diabetes or heart disease yet has a BMI of 35 get Rhinoplasty ?

Patrick Tansley, MSc, MD, FRCS(Plast) · Answer

Perioperative risks are known to increase with increasing BMI. Whilst your circumstances should of course be assessed on an individual basis, in general terms surgical and anaesthetic risks should be reduced/eliminated as far as possible when contemplating elective aesthetic surgery. With that in mind you would be well advised to try to reduce your BMI below 30 before undergoing such surgery. Typically, private hospitals will also want you to achieve this prior to admission to their facility. Mr Tansley (Australian registration: MED 0001651716, Registered medical practitioner, Specialist Plastic Surgeon (Specialist Registration Surgery – Plastic Surgery); United Kingdom registration: 4153720, GMC Specialist Register (Plastic & Reconstructive Surgery.

José Eduardo Telich Tarriba, MD · Answer

Dear Sara thank you for your question. 
High BMI is not a limitation for getting rhinoplasty per-se, although a thorough evaluation of your breathing and nose anatomy is necessary, as well as knowing your goals and desires. Evaluation of the airway by the anesthesiologist is also relevant prior to surgery to be prepared in the eventual case you might have a difficult airway for intubation.

Philip Michael, MBBCh, FRACS, FRCS(Ed) · Answer

Dear Sara
Many thanks for your enquiry. Your level of BMI should not be any issue in relation to the surgical issues of a rhinoplasty. Higher BMI's can potentially increase risks from general anaesthesia but if you are otherwise healthy, this increase should be minimal.
Best Wishes

Damien Grinsell MBBS, FRACS (Plast) · Answer

Hi
Whilst you may not have any specific health diseases at the moment, a BMI of 35 is not healthy and is definitely linked to increased risks of surgery eg pneumonia and wound healing problems. The risks of DVT and pulmonary embolism are higher and ggese can be life threatening. Having said that my cutoff for surgery is a BMI of 35 so theoretically you could proceed with surgery. 
Regards Damien

Michael I. Echavez, MD · Answer

In my opinion, there should not be any issue having a rhinoplasty with a BMI of 35, in an otherwise healthy person.

Richard A. Bartlett, MD · Answer

Absolutely. If you have no underlying health conditions, a Rhinoplasty is completely within the realm of possibilities. However, I would mention that many surgeons do have BMI requirements for surgery. I would advise you reach out to potential board certified surgeons in your area to gauge whether they would accept you as a potential patient. Best of luck!

Robert Ciardullo, MD · Answer

Can you have a Rhinoplasty‘s if your BMI is 35? The problem with a BMI of 35 is that you are at increased risk for a pulmonary embolism and deep vein thrombosis. It is a relative contra indication for a surgery that is elective. Ultimately it is a judgment call which must be made between you and Your surgeon discussing and weighing the risks and benefits. Some would do it, some would not.

Can I get a rhinoplasty if I have a BMI of 35? I am healthy and have no illnesses

Answers (7)

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