Do you need a medical clearance to get a breast augmentation?

Question

I’m getting a breast augmentation done March 24th and needed to know if I need a medical clearance from a primary care doctor ?

James H. Rogers, MD · Answer

You do not mention your age or if you have any underlying medical problems that could increase the risks of surgery. All patients should have a physical examination by their surgeon and appropriate blood work prior to surgery. Patiets with certain medical conditions, such as heart disease, or asthma, may need more extensive evaluation by an internist to evaluate their risk for surgery.

Daniel Barrett, MD · Answer

Hi Lanena94, 
  
Thank you for the question. It is not unusual for surgeons to require a medical clearance prior to breast augmentation surgery. However, this is a case to case basis, especially for those who have preexisting health conditions that need to be controlled before the surgery. If you are concerned, you should speak with your plastic surgeon to discuss your concerns. 
  
Daniel Barrett, MD
  
Certified, American Board of Plastic Surgery
  
Member, American Society of Plastic Surgery
  
Member, American Society of Aesthetic Plastic Surgery

Richard G. Reish, MD, FACS · Answer

Hello and thank you for your question.  The
best advice you can receive is from an in-person consultation.  Every surgeon's office has their own protocol for this, so be sure to ask your surgeon.  In my practice, we require labs and full medical clearance for all patients in order to ensure optimal patient safety prior to surgery.  I also have a board-certified MD anesthesiologist administering anesthesia.
Best wishes and good luck.
Richard G. Reish, M.D.  FACS
Harvard-trained plastic surgeon

Bryson G. Richards, MD · Answer

Not all of our patient require a medical clearance. Women who are young, in their 20s, and healthy do not require a medical clearance. We require medical clearance if you are taking blood pressure medication or have a medical condition that requires being controlled prior to surgery. I hope this helps.

Ted Eisenberg, DO, FACOS, FAACS · Answer

Medical clearance is only needed if you have a significant health history. Best to review this question with your surgeon now.
Dr. Ted Eisenberg, Board Certified Plastic Surgeon and Author

Eric Schaffer, MD, FACS · Answer

You have mentioned that you are scheduled for surgery on March 24th which means you have already consulted with your plastic surgeon.  If you disclosed your medical history and medications you are taking to your surgeon, if they were concerned that would have you visit with your PCP for clearance.  If you are still concerned, contact your surgeon and verify you are medically ready for surgery.  Good luck.

William Andrade, MD · Answer

Hello, I'd recommend asking your surgeon about their policy regarding a preoperative assessment by your family doctor.  In general I recommend my patients see their primary care physician for a full physical prior to surgery.  However, occasionally if a young, healthy patient is unable to see their doctor (or they don't have one) I will waive the requirement.

Camille Cash, MD · Answer

If you are in general good health with a clear medical history then you most likely will not require medical clearance but the answer to this will vary patient to patient.  If you have a condition in your medical history that could impact your safety during the procedure your surgeon may request that you get medical clearance.  Another reason for medical clearance may be due to results from lab tests or your age.  Your surgeon will advise what is recommended for you.

Jeffrey K. Scott, MD · Answer

If you are on the younger side of age and are healthy, then certainly your Board Certified PS is capable to make his or her own judgement in reference to medical clearance prior to surgery. However if you have more significant pre-existing medical issues, it is best to obtain clearance from each of your treating doctors.

Brad Denney, MD · Answer

It would depend on your medical history. If you have no medical problems and do not take any medications then in my practice I would not require medical clearance. However, if you have significant medical comorbidities that would pose as danger with general anesthesia, such as heart, lung or vascular disease, then medical clearance would be warranted.

Do you need a medical clearance to get a breast augmentation?

Answers (18)

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