What could prevent a person from being cleared to get breast augmentation according to their labs?

What could prevent a person from being cleared to get breast augmentation according to their labs?

Doctor Answers 12

Pre-Operative Medical Clearance

Thank you for your question.  Pre-operative medical clearance is important to obtain prior to any surgical procedure, especially elective cosmetic surgery, in order to determine that the patient is in optimal health to handle the proposed surgery.  Pre-operative clearance is generally performed by a patients primary care physician and can include bloodwork, ekg, mammogram/breast sonogram, etc..., all of which your primary care physician signs off on.  Labs performed for purpose of medical clearance can indicate that the patient suffers from anemia, diabetes, has an infection, is pregnant, has potassium issues, etc... all of which are important to know and take care of before any surgery is to be performed.  I hope this helps and I wish you the best of luck.

Laboratory Values and Surgery

Every surgeon has different preferences regarding labs and the ok to go ahead with surgery. That being said your surgeon may have quite different preference than we have at our practice. For our patients we obtain a complete blood count (CBC) and Mammogram prior to surgery. We have canceled or postponed surgery because of anemia (low hemoglobin or hematocrit) and low platelet count. The latter can result in increased bleeding risk. We have also cancelled surgery because of other underlying medical problems including uncontrolled diabetes, heart problems or liver problems. Lastly abnormalities on mammogram warrant further work up before any surgery should take place. All of these restrictions are for the patient's safety and ultimate success of surgery. Best of luck! 

Anthony J. Wilson, MD
Portsmouth Physician
5.0 out of 5 stars 6 reviews

Pre op testing

When undergoing elective plastic surgery, it is important patients are healthy.  Labwork that indicates infection, anemia, pregnancy, etc. can cancel a procedure.  Also a potassium level that is abnormal increases safety risk and will postpone a procedure.

Camille Cash, MD
Houston Plastic Surgeon
5.0 out of 5 stars 29 reviews

Lab tests before breast augmentation surgery

Great question.

For a seemingly healthy individual without any medical problems, it is important to check for any possible infections (urinary tract, bladder, respiratory tract, oral/dental, etc) that may not be apparent to the naked eye. An infection of any sort anywhere in the body, has the potential to "seed" the implants and cause major problems which may lead to removal of the implants. Remember, implants need to be treated carefully as they are foreign bodies and are subject to rejection if they become contaminated or "seeded" by bacteria. Other things to look for are anemia and pregnancy.  

Best wishes, 

Gary M. Horndeski, MD
Texas Plastic Surgeon
4.7 out of 5 stars 209 reviews

Lab tests before breast augmentation

Thank you for asking about your breast augmentation.

  • It entirely depends on what lab tests are required.
  • Often a test is done for anemia. If you are severely anemic, surgery may be postponed.
  • Or if you are diabetic, if your diabetes is poorly controlled, surgery will be postponed.
  • A pregnancy test is routine as well - if you are of childbearing age. If you are pregnant, surgery will be cancelled.
  • But it is best to ask your surgeon what tests are required - not every surgeon requires lab testing for young, healthy women before routine breast augmentation.

Always see a Board Certified Plastic Surgeon. Best wishes  - Elizabeth Morgan MD PHD FACS

What could prevent a person from being cleared to get breast augmentation according to their labs?

The medical literature is quite clear that there is no benefit to obtaining routine lab work for a healthy patient under 50 and some say 60 years of age. If you have medical issues then lab work would be important. There are too many things to list that could keep you from having surgery if you have medical problems preop. For patients in the age range of the usual breast augmentation candidate, pregnancy would definitely require postponing surgery.

Ronald V. DeMars, MD
Portland Plastic Surgeon
5.0 out of 5 stars 24 reviews

Breast augmentation blood work

Based on current guidelines at our clinic, for patients under 50, if they are healthy and without significant medical history, no blood work is requested.  Guidelines may be different at your surgeon's location.

For us, pregnancy test is routine of course, but that's usually done with urine samples on the morning of surgery.

Best wishes,

RM


Breast augmentation: Could pre-surgery lab test results prevent me from being cleared?

Good question. In my practice, prior to having surgery, we test for a few basic things that, if abnormal, would preclude having surgery. We would not perform surgery if a patient was pregnant, had an unexplained anemia or low blood count, had an elevated white blood cell count (possible infection in the body), or an abnormal bleeding time (possible bleeding problem). Also, if a patient has a known medical condition, like diabetes or an overactive thyroid, we would want to check to make sure her condition was stable prior performing surgery. Hope this information is helpful. For more information on this and similar topics, I recommend a plastic surgery Q&A book like "The Scoop On Breasts: A Plastic Surgeon Busts the Myths."

Ted Eisenberg, DO, FACOS
Philadelphia Plastic Surgeon
5.0 out of 5 stars 61 reviews

Lab Work for Breast Augmentation

Thanks for your question.  Unless you have a particular medical condition that is being treated by an Internist, you typically don't need lab work done before routine breast augmentation procedures. If you are asking in general what would make a plastic surgeon more aware of potential complications, then your platelet count, coagulation profile, and blood count are important especially if you have a bleeding disorder or some coagulation deficiency. Your surgeon should take the time to ask about your medical history, and order appropriate lab tests to make sure you are a good candidate for elective breast augmentation.

Lab work

In my practice, I do require baseline labs on all patients.  The majority of the times there is nothing on the labs that prevent surgery.  We do check PT,PTT, and INR on each patient, this is to be sure that there is no clotting or bleeding issues.   We area also looking at kidney and liver function, checking for anemia, protein levels, and looking at electrolyte levels.  I always have my nurse review the labs with each patient and be sure that patients have proper nutrition to assist with post operative healing.  Each Plastic Surgeon is different and a lot of my collogues do not get labs on patients with no medical history.   Be sure to express all your concerns to your surgeon.  Best of luck to you.  

Shahin Fazilat, MD, FACS
Mountain View Plastic Surgeon
4.8 out of 5 stars 10 reviews

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.