Is an EKG Necessary for Pre-op Rhinoplasty in a 45 Year Old with No Heart Issues?

As you have found,  every practice is different in their preoperative and postoperative “protocols”. In my practice, an EKG for healthy 45-year-old  patient would not be mandatory. I would suggest that you discuss this concern with your plastic surgeon;  he/she may very well feel comfortable with excluding it from your work up.  If not, assuming you  have done your due diligence in plastic surgeon selection, I would suggest having the EKG done and otherwise complying with your plastic surgeons'  request.

Best wishes.

45 years old is usually the threshold age for which most surgery centers and hospitals will require an EKG prior to any type of elective surgery.  They are simple, easy to perform, and takes about 10 minutes in a doctor’s office to have one done.  This is done out of patient safety.