Is it ok for patient with renal failure to get breast implants?

Question

I am 23yrs old.I have IgA nephropathy and I am on peritoneal dialysis, 5h 45mins everyday.I am currently in the list for kidney transplant.Will it be better for me to get breast implants before transplant?or after?

Larry S. Nichter, MD, MS, FACS · Answer

Yes, it is possible to have a breast augmentation with implants or other cosmetic surgery if you
have renal failure on peritoneal dialysis, if and only if, your nephrologist
approves. The risk of surgery however is probably  increased 
for peritoneal dialysis vs hemodialysis but in both cases you would have
increased for infection and excessive bleeding and bruising. Your plastic
surgeon and nephrologist together will determine the specific increase risks in
your particular case and discuss whether you are a surgical candidate or not.

Vincent N. Zubowicz, MD · Answer

From the description it sounds as though your health is somewhat unstable based on anticipated kidney transplant. I personally would not recommend breast augmentation.

Earl Stephenson, Jr., MD, DDS, MBA · Answer

Every surgeons going to have a different opinion. I am of the opinion that you do not need or should have breast implants at all. Your medical condition far outweighs the desire for implants.

Shim Ching, MD · Answer

Your illness does put you at higher risk of complications such as infections or wound healing problems. I would discuss this with your nephrologist and primary care physician before proceeding. My feeling is the risk would be too high to do the surgery at this stage. Possibly, when you are better after your transplant, the risks could be lower.

Tom J. Pousti, MD · Answer

Thank you for the question.Yes, plastic surgical procedures can be done safely for patients with a variety of different “medical conditions”. Careful evaluation and treatment of the medical condition is necessary prior to determining the appropriate candidates for the tummy tuck procedure. In your case this would be best done by your internist and nephrologist. These physicians know your situation best and would be best suited to discuss your suitability for the procedure and the potentially increased risks/ complications that you should consider very carefully. Once these doctors provide you "medical clearance", please make sure you are seeking consultation with well experienced board-certified plastic surgeons who preferably work with board-certified anesthesiologists in fully accredited surgery facilities. Then, careful communication between all the doctors involved will be helpful when it comes to providing you with optimal care. In your case specifically, I would recommend that you undergo the medically necessary procedure first;  consider elective surgery once  this has occurred and you have been medically stable for a period of time.Please make sure that you keep your overall health/safety as the first priority. Best wishes.

Arthur M. Cambeiro, MD · Answer

By the sounds of your current medical condition I would recommend not proceeding with an elective cosmetic procedure.

David Mathes, MD · Answer

If you are
currently on the transplant list I would avoid any elective surgery. If you
were to experience a complication this would likely affect your place on the
transplant list. You should have a discussion about this with your nephrologist
but most likely you will be advised to wait until you have a stable kidney
transplant.

Brooke R. Seckel, MD, FACS (retired) · Answer

Based on your current medical condition I would not recommend an elective cosmetic procedure such as breast implants.  Surgery creates significant from and the tissues and renal function must be adequate to handle the increased load of protein and other byproducts of the operation.

Is it ok for patient with renal failure to get breast implants?

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