Heart palpitations before breast implant surgery.

Thank you for your question.  If your surgeon has requested an ECG but it is after surgery, I would recommend reversing the order.  There is no harm in having the all green go ahead after your cardiac work-up, but not identifying a potential underlying cardiac issue can have dire consequences.If you are set on your surgery date, then I would try to find alternate options to move up your work-up.  Best of luck.

Hi there, Thank you for your question. It is best to speak with your operating surgeon. With elective surgeries, it is always best to ensure you are in optimal health. Best, realdrsix

New unevaluated heart palpitations could be a problem for your breast implant surgery. My anesthesia team and I would want a note from your physician stating that you have been fully evaluated and you are medically stable prior to undergoing any surgery. I suspect your surgeon will concur. Good luck to you.

It is safest to have your medical doctor perform the ECG before surgery. In addition, they should  provide your plastic surgeon with a letter saying that you are in good shape medically to safely undergo breast augmentation and anesthesia. This is called a letter of medical clearance.

Thank you for your question.  My advice is to request that your primary care physician communicate with your plastic surgeon regarding his/her concerns regarding your scheduled ECG and your upcoming surgery.  Best of luck.

Thanks for your inquiry, see if your plastic surgeon can discuss your situation with your medical doctor.  I routinely will discuss any medical concerns I have about my perspective patients with their primary care physician.  This gives both the patient and me the piece of mind that everything was considered before proceeding with elective surgery.  Good Luck. 

Thank you for the question.   I agree with your concerns.   With new onset heart rhythm disturbances, EKG and evaluation by a cardiologist are probably necessary prior to your upcoming procedure

     Breast augmentation is a great surgery but it is elective and should not be done until medical concerns are addressed.  Your recent heart palpitations may prove to be nothing serious, but should be properly evaluated before your breast surgery in case there is a cardiac problem.  You should never feel rushed into a breast surgery.  Be safe and good luck.

Each patient will answer the question different based on there experience.  If you are already large then it is more common to reduce the breast size through a reduction procedure.

A fair number of young women have some degree of mitral valve prolapse accompanying palpitations.  If your palpitations are prominent and recurrent, especially if accompanied by dizziness I would insist on being evaluated before a general anesthesia.  If repeated bouts occur, for your safety I think you should be evaluated and if necessary delay your procedure.  Call your internist and express your concerns.  Make sure he/she knows that you have an anesthesia planned. Regards and good luck....
Jon A Perlman MD FACS 

Certified, American Board of Plastic Surgery 

Extreme Makeover Surgeon ABC TV

Best of Los Angeles Award 2015, 2016 

Beverly Hills, Ca