Can I undergo rhinoplasty if my blood pressure is high?

Question

Can I undergo rhinoplasty if my blood pressure is high? Note that it's not *extremely* high (stage 2 hypertension)

Semih Yildiz, MD, FEBOPRAS · Answer

Stage 2 hypertension should be evaluated and brought under reliable control before an elective rhinoplasty. Uncontrolled blood pressure can increase anesthesia, bleeding, cardiac, and postoperative risks, and a single acceptable reading on surgery day is not a substitute for stable control.

Arrange assessment with your primary-care clinician, record home readings, and review medications and other risk factors. Your surgeon and anesthesia team should decide when it is appropriate to proceed after medical clearance; surgery may need to be postponed until the cause and treatment are addressed. Do not stop blood-pressure medication unless the prescribing clinician or anesthesia team specifically instructs you to do so.

Selcuk Inanli, MD · Answer

Hello! Thank you for your question.
As far as I can understand from your questionFor this, all your necessary tests should be checked before surgery, and if it is at a level that will prevent you from having surgery, you should not have an operation.
Best Regards!

Lucian Ion, FRCS · Answer

Thank you for your question.

For the safety of the anaesthetic as well as the safety of surgery, the blood pressure needs to be well-controlled before the treatment.

It is possible to proceed to surgery but it is important to understand that the post-operative bleeding and the related swelling could be more significant.

To help the surgery, it is possible to discuss with your cardiologist or general practitioner slight increase in the blood pressure management taking you towards a generally lower blood pressure than the target as long as it remains safe and avoids you feeling dizzy or faint.

This will decrease the tendency to swelling postsurgery and with that also decrease somewhat the risk of infection.  Ultrasonic rhinoplasty also decreases the amount of swelling and bruising

Chet Mays, MD · Answer

Thank you for your inquiry! Hypertension would need to be controlled by medications prior to any surgery that requires general anesthesia!

Kyle Kimura, MD · Answer

Great question. 
The short answer is yes. The longer answer is it depends. Most surgeons are okay if the top number is under 180-190, however the higher your blood pressure the more likely that you will have bleeding during or after surgery which may make things more challenging during recovery. If there is ever concern, I would certainly let your surgeon know and this can often be optimized before surgery to lead to the best outcomes.
Hope this helps and best of luck,Kyle Kimura, MD

Gary M. Horndeski, MD · Answer

You will need medical clearance from your physician to clear you for a 2 hour surgery under general anesthesia.

Best Wishes,

Gary Horndeski, M.D.

Eric M. Joseph, MD · Answer

Young patients with mild hypertension may tolerate general anesthetic and rhinoplasty surgery without an issue. It truly depends on your blood pressure numbers, and your overall health. Having good blood pressure control before surgery may decrease post-operative bruising, and it also may lead to a better outcome. I hope this helps! Sincerely, Dr Joseph

Ronald J. Edelson, MD · Answer

It all depends on how high your blood pressure is and whether your surgeon is comfortable with your current blood pressure. Choose your surgeon and ask them if it’s ok

William Portuese, MD · Answer

It's imperative that your blood pressure is normalized before, during, and after elective cosmetic surgery on your nose. If you get a nosebleed due to high blood pressure after the surgery, it's gonna require extensive packing placed in your nose, and it will be extremely painful. Best to get your primary care physician to give a letter of clearance and get your blood pressure under control.

Richard G. Reish, MD, FACS · Answer

Hello and thank you for your question. As long as your blood pressure is well controlled, and you can obtain medical clearance from your primary physician and then this should be okay. Safety should always be the number one priority. I recommend that you seek consultation with a qualified board-certified rhinoplasty surgeon who can evaluate you in person.

Best wishes and good luck.

Richard G. Reish, M.D.
Harvard-trained plastic surgeon

Best wishes and good luck.

Richard G. Reish, M.D.
Harvard-trained plastic surgeon

Can I undergo rhinoplasty if my blood pressure is high?

Answers (13)

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