Sleep Apnea - is it safe to have a breast lift with implants and liposuctoin?

Question

Hello all! 47 yrs female 160lbs with sleep apnea.I would like to have Breast lift with implant and liposuction.Would I be safe with the sleep apnea?I don’t have any other health issues that iam aware of,thanks.

Semih Yildiz, MD, FEPOBRAS · Answer

Sleep apnea does not automatically mean you cannot have a breast lift with implants and liposuction, but it does make anesthesia planning more important. The key questions are how severe your sleep apnea is, whether it is well controlled, whether you use CPAP, and whether you have any related issues such as high blood pressure, heart or lung problems, or high BMI.
Before surgery, you should be cleared by your primary doctor or sleep specialist and evaluated carefully by the anesthesia team. If you use CPAP, you will usually need to bring it on the day of surgery and use it during recovery as instructed. Your surgeon and anesthesiologist may also recommend a hospital or accredited surgery center setting, longer monitoring after surgery, or an overnight stay depending on your risk level and the length of the combined procedure.
Combining a lift, implants, and liposuction can be safe in selected patients, but the plan should be conservative with attention to operative time, pain medications, and airway monitoring. Untreated or severe sleep apnea should be optimized before elective cosmetic surgery.

Daniel Barrett, MD · Answer

Dear Cnats2,

it is hard to tell for sure without an examination. You might need to get a clearance prior to surgery. If you are considering surgery, I would suggest you consult a board-certified plastic surgeon. Only after a thorough examination, you will get more information and recommendations.

Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Leila Kasrai, MD, FRCSC · Answer

Please consult your primary care physician first to determine whether a lift and liposuction would be safe for you.

Ted Eisenberg, DO, FACOS, FAACS · Answer

I recommend an in person consultation with a plastic surgeon to discuss your goals and be measured. After I measure and discuss goals with my patients, we then look at pictures of women (my patients) with similar measurements with different size breast implants. They also get to see what they would look like when the breasts have fully dropped and fluffed and in clothes. You get to see actual results and the surgeon' s experience and not a virtual idea of what can be achieved. Women tell me that this process is very helpful in determining what is right for them. Dr. Ted Eisenberg, Board Certified Plastic Surgeon and Author. RealSelf Distinguished Hall of Fame Inductee. Philadelphia, Pa., USA

Gary M. Horndeski, MD · Answer

You should discuss with you physician if you will need overnight observation since you have a history of sleep apnea. The breast lift technique I recommend is The Bellesoma Method. This will reshape your breast tissue creating upper pole fullness without implants, elevate them higher on the chest wall and more medial to increase your cleavage. Vertical scars are avoided, nipple sensation (in 95%) and the ability to breast feed are maintained. Later, fat transfers can be performed if additional volume is desired.

Best Wishes,

Gary Horndeski, M.D.

Best Wishes,

Gary Horndeski, M.D.

Darryl J. Blinski, MD · Answer

Based on your one poster photo, you can do that combination of surgery with a medical clearance from your doctors that are taken care of you for sleep apnea. Expect fee to arrange from $6000-$12,000. Best of virtual consult with.

Mats Hagstrom, MD (license on probation) · Answer

Safe is a relative term.
It’s safer to not have cosmetic surgery.
Risk is usually determined by the incidents and the total risk involved.
What is an acceptable risk for one person may not be an acceptable risk for another person.
All procedures involve risk compare
All surgical procedures include the possibility of severe medical complications, including death, though they are highly unusual during routine Procedures.
Life is a fatal condition and life involves risk.
When patients are overly anxious about surgical complications and risk of surgery, I usually equated to other risk activities like driving a car.
The mortality rate of driving a car is approximately one and 10,000 per year.
This means that driving a car for a decade has about one and 1000 chance of dying from a car accident.
 Driving a car for 50 years therefore has a one in 200 rate of fatality.
Driving is probably one of the riskiest things we do.
The benefit of driving is far greater than the benefit of having breast surgery.
I think most plastic surgeons would say that a breast augmentation with a lift, including liposuction is relatively safe.
The keyword here is relative.
Relative to what? If you’re highly risk adverse, then consider not having cosmetic surgery.
The biggest risk with the procedures you’ve described is an aesthetically poor outcome requiring revision surgery and possibly being left disfigured. The outcome of poorly done Liposuction is sometimes permanent and cannot be corrected.
Risk can be reduced by collectively selecting the best provider.
Finding the right plastic surgeon to work with is also not easy or straightforward.
Provider selection is in the end, the most important variable, other than deciding to have the surgery or not.
I suggest patients schedule as many consultations as possible to get well informed, improve their ability to vet, plastic surgeons, and maximizing the chance of an overall positive experience.
When in doubt, slow down and schedule more consultations.
Avoid a virtual consultations whenever possible.
Opt for meeting the surgeon who is going to do your procedure in person.
Schedule more than one consultations.
Good luck,
Mats Hagstrom MD

Sleep Apnea - is it safe to have a breast lift with implants and liposuctoin?

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