I have Marfan's Syndrome and would like to get breast implants; what is the likelihood of finding a surgeon willing to operate?

Question

I've been to one consultation and all went great. The plastic surgeon said I would be starting with a good foundation and we chose the size, incision, and type ideal for someone with Marfan's. He, however was unwilling to operate for fear of aortic dissection. He finished up by saying it wasn't impossible to get done, and a university might be my best "bet", but I am just wondering the likelihood of me getting turned down time and time again. Any suggestions on how to proceed?

Michael C. Edwards, MD, FACS · Answer

Safety should always be at the top of the decision tree when deciding to operate or not. I have treated patients with Marfans before but never without proper medical clearance. Depending on your age, health, other medical conditions if any, an ultrasound of your aorta may be a part of it. The other important aspect to consider is the size of the implant because, as you know, your tissues have more laxity and implant malposition is a concern. I would encourage you to make an appointment with an experienced, board-certified plastic surgeon who can review your history and make recommendations for care.I hope this helps.Dr Edwards

Mary Lee Peters, MD (retired) · Answer

Thank you for your question. As you well know, each Marfan's patient is unique. The risk of the connective tissue of the breast not allowing the implant position to settle well is of less concern than the aortic separation you were already aware of. You also have the considerations of lung tissue complications in any form of surgery for a Marfan's patient. All that being said, the answer may not be "No". Depending on your overall health you may still be a good candidate. You may just require more extensive clearances to find out if you can safely tolerate the procedure. You will most definitely require some collaboration between your primary providers and your surgeon. I recommend finding a referral from your primary doctors or visiting the American Society of Plastic Surgeons' website and contacting some in your area. Yours is a unique case and there may very well be someone out there that can help. Best of luck to you.

I have Marfan's Syndrome and would like to get breast implants; what is the likelihood of finding a surgeon willing to operate?

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I have Marfan's Syndrome and would like to get breast implants; what is the likelihood of finding a surgeon willing to operate?

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Everything you need to know about Breast Augmentation

Our mission is to create a world where every investment in modern beauty is Worth It.