Can Raising Your Heart Rate After Breast Implants Cause Complications?

Question

I am a week and a half out of surgery (300, CC, silicone, under the muscle) and I know I can't excersize or raise my heart rate for a month. I can't find anywhere the complications for doing this. I was out of town and was walking around the city and got lost which lead to a very long walk, flat and uphill, where I was out of breath at some points (I would stop and then take a break). I just want to know what the implications are of raising your heart rate. Thanks!

Christopher V. Pelletiere, MD · Answer

I generally tell my patients that after 1 week, they can resume all activities except high impact things ( running, jumping, etc.). I let them walk, ride an exercise bike, lift weights, etc. As long as it doesn't physically hurt, then it is probably ok to do. The old addage about getting your heart rate up relates to increased blood flow and hence pressure through your arterial system. Theoretically, this could lead to a blood clot coming off a little vessel that was cut during the surgery, leading to bleeding and a hematoma around the implant. However, this is something that usually happens the first day or two after surgery, not after a week of normal healing. I hope this helps.

Lewis Albert Andres, MD · Answer

Hello! Thank you for your question! There are a few medical comorbidities that contribute to a higher risk during any surgical procedure including infections, wound complications, delayed wound healing, bleeding, anesthetic risks, etc. Hypertension is one that is known to have an increased risk during a procedure.  This can coincide with tachycardia, or increased heart rate. There are a number of both systemic and local host factors that can contribute to high blood pressure and tachycardia.  Hypertension itself is not a true contraindication to having any surgical procedure, but it should always be controlled.  Risks that coincide with high blood pressure, such as coronary artery disease, pulmonary issues, varicosities, etc. can certainly be worrisome as the risk for other issues including MI, stroke, etc. can be severe.  Complications such as bleeding and postoperative hematomas may be increased and hemostasis obtained well.  That being said, well-controlled high blood pressure should equate a minimal increased risk for the above and surgical procedures still safe and a reasonable decision. You should ensure adequate blood pressure control always, but also obtain medical clearance from your primary care physician that you are at an acceptable risk for undergoing a surgical procedure. For elective or aesthetic procedures, your surgeon may want to get you to a baseline level prior to consideration for a procedure.  Discuss all of your medical comorbidities and medication with your surgeon prior and discuss these risks.  Also, discuss this with your anesthesiologist as proper monitoring and medications will be watched closely.  This procedure should still be very safe for you and hope for an uncomplicated course with an excellent result!  Hope that this helps! Best wishes!

Otto Joseph Placik, MD · Answer

Can Raising Your Heart Rate After Breast Implants Cause Complications? in the early postoperative period this along with a high blood pressure may make you more prone to bleeding for the first 10 days after surgery and therefore we generally adivse caution during this time.

Steven Wallach, MD · Answer

I usually ask patients to refrain from exertional aerobic acitivity for about 3-4 weeks to avoid the risk of a hematoma.  Walking in general should be fine.

Can Raising Your Heart Rate After Breast Implants Cause Complications?

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