Lipo & breast implants with a lift: am I at more risk if I'm an asthmatic?

Question

Hey, I was wondering if anyone could tell me if there's any more risk in lipo since I an asthmatic & have PCOS. I would like to know if these conditions in any way worsen the risks.  I'd also like to know if Lipo in 12 areas & Implants with lift can all be done in one surgery & is it safe. Thank you .

Gary M. Horndeski, MD · Answer

You need to see your asthma physician and get cleared for surgery.  Tell your physician you will probably need 5 to 6 hours of general anesthesia and see if you qualify.  If you are cleared, you can always do these in two separate sessions, if you wish.  Liposuction is the easier of the two procedures.  So perhaps you can do the liposuction first and see how you tolerate that.  Liposuction in multiple areas can be done in usually 2 hours with minimal incisions.  If this is successful then you can consider implants with a lift.  This is generally a longer operation.  The technique I recommend is The Bellesoma Method.  This will reshape your breast tissue creating upper pole fullness without implants, elevate them higher on the chest wall and more medial to increase your cleavage.  Vertical scars are avoided, nipple sensation (in 95%) and the ability to breast feed are maintained.  Later, fat transfers can be performed if additional volume is desired.  Implants are not lifetime devices.  8% fail within the first year and 30% fail within six years.  Fat transfers are permanent and incorporated into the body.Best Wishes,Gary Horndeski, M.D.

Jason Emer, MD · Answer

yes you have a lot of risk actually especially with anesthesia and I would sugget you get optimization hormonally and some weight loss prior to help your lungs (see link). medical clearance will be necessary.  Best, Dr. Emer.

Zoran Potparic, MD · Answer

You are definitively at increased risk regarding general anesthesia which is needed for liposuction and breast augmentation due to asthma. Good clinical evaluation before surgery and discussion with your surgeon and PCP how to prepare yourself for surgery is recommended. Try to avoid doing surgery in clinics with high volume of patients since you may need more attention both before and after surgery.Good luck.

Robert M. Tornambe, MD · Answer

I appreciate your concerns, and as long as your asthma is well-controlled, with clearance from your medical doctor, your asthma should not be a contraindication for surgery. Your plastic surgeon will most likely request that you bring your asthma inhaler with you when you arrive for surgery. However, you are essentially describing a form of mommy makeover surgery, and board-certified plastic surgeons recommend limiting multiple procedures on an outpatient basis to be performed within six hours. If your surgeon cannot do all the areas you desire within that time frame, staging the operation is a safer option. Also an absolute limit of 5 L of aspirate can be taken in one sitting. Consult with a board-certified plastic surgeon in your area to greatly increase your chances for the best and safest result. Good luck.

Daniel Barrett, MD · Answer

Dear Day67r,
your medical conditions should be under control prior to surgery. If you are considering a surgery, I would suggest you to consult a board-certified plastic surgeon. Only after a thorough examination you will get more information and recommendations.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Arian Mowlavi, MD, FACS (license on probation) · Answer

You should get cleared by your medical physician. Second, you should consult a board certified plastic surgeon. Twelve areas sounds excessive, but it is hard to say without photos or a consultation. A Skype or FaceTime consultation with a VASER specialist will help you get an accurate recommendation for your procedure and for pricing. 
Respectfully, 
Arian Mowlavi MD, FACS
Realself 100 Hall of Fame Inductee

Mats Hagstrom, MD (license on probation) · Answer

Your asthma needs to be well-controlled before any elective surgical procedure.As long as your asthma is well-controlled and there are no triggering agents present then you should not be at significantly increase the risk.Some patients require more than one round of Liposuction for safety reasons. Most plastic surgeons generally limit Liposuction to a maximum of 5 L of fat removal. It’s generally safe to do a breast lift with implants and Liposuction at the same time as long as the amount of Liposuction is a reasonable amount.Some plastic surgeons prefer to split breast lift and implant augmentation has two procedures for safety reasons.It’s a reasonable approach to do these split procedures especially in anyone who has risk factors like a history of cigarette smoking.I suggest having a few in person consultations with local board-certified plastic surgeons in your area.Best, Mats Hagstrom MD

Robert T. Buchanan, MD (retired) · Answer

First, asthma does increase your risks and the anesthesiologist needs to know about it to adjust the anesthesia. You also need to have it well controlled and have medical clearance before surgery. Secondly, I don't care how you count it, 12 areas of liposuction is way to much to attempt at one time and, especially, with another surgery. Liposuction has one of the highest death rates of any cosmetic surgery when not done with care. What you need is weight loss first and liposuction of the few remaining stubborn residual areas. By reducing the amount of fat liposuctioned, you markedly reduce your risks.

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