Can you help me understand why I was refused treatment for arm liposuction with cardiologist clearance?

Question

Fit 45 year old F, 5'6", 133 lbs. Have Coronary Artery Disease due to bad genetics. Cardiologist deemed issue insignificant, not functional–no contraindications to surgery. Recent FFRct shows 50-70% stenosis in LAD w/value of 96% flow, same as my clear LCA and RCA (hence a non-issue). Wondering why I still got rejected when a) not getting put under, b) Dr does lipo on morbidly obese peeps, many likely w/undiagnosed heart issues? Should i bother contacting other surgeons?

W. John Bull, MD · Answer

Sometimes there are other factors that may lead a plastic surgeon to not operate even if the cardiologist says it is safe. I would discuss this with your doctor and consider alternatives as well that may be a better option for you. However I agree that arm liposuction can be done under local and is usually safe.

Robert M. Tornambe, MD · Answer

layahrach. If your cardiologist has given you medical clearance to have general anesthesia, I am not quite sure why your surgeon has deemed you unacceptable  with regards to health for this procedure. Be certain that your cardiologist has spoken to your plastic surgeon or get a second opinion from a board-certified plastic surgeon. Best of luck.

Jayanthy Ravindran, MS, DNB, MRCS · Answer

Hey there,Considering your medical condition, you may fall under “relative contraindication” slab for liposuction. Not sure if you are on any ‘Aspirin’. Any elective surgery is performed based on risk benefit ratio. In your case benefit from liposuction is lower than your risk from surgery. 
Hope this helps.

Don Fontana, MD · Answer

In medicine and particularly in surgery, there is the risk-benefit ratio. How much benefit would you derive for the risks involved in performing  a cosmetic operation.  Your surgeon may feel that despite your cardiology clearance, the risk is too great .   Your PS is clearly putting your safety  first.

Karol A. Gutowski, MD, FACS · Answer

You may want to ask specifically why you were refused treatment. I usually do arm lipo with just a local anesthetic so I'm sure it can be done for you. See link below for examples.

Can you help me understand why I was refused treatment for arm liposuction with cardiologist clearance?

Answers (5)

Answer: Cardiologist cleared but no surgery ?

Answer: Cardiologist cleared but no surgery ?

Answer: Can you help me understand why I was refused treatment for arm liposuction with cardiologist clearance?

Answer: Can you help me understand why I was refused treatment for arm liposuction with cardiologist clearance?

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Can you help me understand why I was refused treatment for arm liposuction with cardiologist clearance?

Answers (5)

Answer: Cardiologist cleared but no surgery ?

Answer: Cardiologist cleared but no surgery ?

Answer: Can you help me understand why I was refused treatment for arm liposuction with cardiologist clearance?

Answer: Can you help me understand why I was refused treatment for arm liposuction with cardiologist clearance?

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Recommended reading

Everything you need to know about Liposuction

Our mission is to create a world where every investment in modern beauty is Worth It.