How Hard is It to Perform a Breast Augmentation on Someone Who Has a ICD? (Defibrillator)

Doctor Answers 4

ICD=No Cosmetic Surgery

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It does not sound like you are an appropriate candidate for breast augmentation or any cosmetic surgery based on the fact that you require an ICD to potentially sustain your cardiac activity

Dr. ES

Breast augmentation with implants in person with heart rhythm abnormality (arrythmia or dysrrythmmia and AICD)

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The primary concerns are either going to be: 1) the consequences of triggering your AICD during surgery due to the use of electrocautery to stop bleeding or 2) the consequences of turning off your AICD while you undergo surgery and ustaining the risk of an arrythmia. In either case, first discuss your desires with your cardiologist.

Otto Joseph Placik, MD
Chicago Plastic Surgeon
4.9 out of 5 stars 86 reviews

Defibrillators and breast augmentation

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Why do you have a defibrillator?  There are some patients that can have breast augmentation, and there others that probably should not because it is not safe.  I think that you may be in the latter group.  

Steven Wallach, MD
New York Plastic Surgeon
4.2 out of 5 stars 30 reviews

Surgery with an ICD (Defibrillator)

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Surgery is not a problem with an internal defibrillator as long as you and your surgeon take certain precautions. First, you need to have your cardiologist clear you. You may need your medications adjusted, depending on why you have the defibrillator. The defibrillator must be turned off just before surgery and turned back on right after surgery. With some devices, this is very easy and the anesthesiologist can do it. Others require a technician. Your cardiologist can tell you this. You should also have a board certified Anesthesiologist put you to sleep and monitor you. These are requirements for anyone with an internal defibrillator. The only other problem for you with a breast augmentation is the placement of the device. Your surgeon may have to alter the procedure or implant size, depending on the specific placement and size of the defibrillator. Make sure you discuss this at the first consult.

Robert T. Buchanan, MD
Highlands Plastic Surgeon

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.