Elevated Liver Values and Breast Reduction?

This must be brought to the anesthesiologist's attention and, regardless of your plastic surgeon and internist's feelings, he must make a decision here. I would first like to know what your baseline bloodwork looked like and whether any liver abnormality existed or had been investigated. If not, it should be looked into even if it means postponing the surgery. Liver abnormalities can affect metabolization of anesthesia and pain medication. Any abnormality should be ruled out in the interest of safety. At minimum, a repeat blood test should be performed to rule out an inaccurate result.

It is smart of you to be concerned and ask questions. I think as long as your primary physician is comfortable with your having the surgery and the postop pain meds, you need not worry. One thing you might speak to your surgeon about is the use of a postop pain pump. These devices use a local anesthetic rather than any of the narcotics. We use them frequently and find the patients that choose this route use little to no pain pills.