Do I need my breast augmentation done in hospital after heart attack 4 years ago & have PVs?

Hello @Lalak8 thank you for your question. Is important you consult with your cardiologist, and follow his or her recommendations. Keep in mind that plastic surgery is often practice in clinics where only plastic surgery is performed to ensure all the sanitary requirements and that the treatments are performed in operating rooms intended for this kind of surgery, and avoid the risk of bacteria or viruses. Best wishes! Alan Gonzalez MD FACS

Thanks for your question! You really need to discuss this with your particular surgeon. Every surgery center is different so it really depends on a number of factors. You will absolutely need cardiac clearance but beyond that, I'm unsure if you will need a hospital visit or not. Good luck!

Hello, thank you for your question, glad to hear you are feeling better and doing well. It would be better advised to have any future surgeries especially for elective surgeries ie breast augmentation in a hospital facility. Its possible to have it done outside the hospital but the risk of this is greater then the benefit. A hospital can better facilitate more resources, medical professionals, if there were to be any issues during surgery or even after surgery.

That decision needs to be made based on communication between your cardiologist and the plastic surgery team, including the anesthesiologist. Every case is different so I can not give you any more specific guidance

Prior to any elective cosmetic procedure, plastic surgeons need to ensure that you are healthy enough to undergo the procedure. Certainly a heart attack is a significant event in your medical history. Add a minimum, you would need a cardiac clearance from your cardiologist. This might involve further work up with the EKGs and stress testing. If all that comes back clear, then it is up to your surgeon to determine whether he or she is comfortable with doing the procedure and the setting where it should be done. Obviously you have to be comfortable with the surgical plan as well. Discuss this with your board-certified plastic surgeon. If you choose to have the procedure done in an office-based setting, ensure that the operating room is fully credentialed and that the staff is current with ACLS protocols. Best wishes.

Dear Genuine882765,
it is hard to tell for sure without an examination. You will need to get a clearance from your cardiologist prior to surgery. If you are considering surgery, I would suggest you 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

This is a question of safety that must be addressed and coordinated with you, your surgeon and other team members such as the anesthesiologist, possibly cardiologist, etc. It is important to make sure you have the right team members coordinating your care to increase your safety options.

You will want to visit with your cardiologist to discuss your interest in breast augmentation. If given clearance you can then meet with a board certified plastic surgeon about the procedure. She/He will decide if you are a candidate and where would be the safest location for you to have your surgery.

Yes, you are now at higher risk for cardiac complications, especially after stress. surgery is stressful. I would advised having any procedure in a hospital where everything needed, including physicians, for cardiac care is present.

The way I would approach your question is why take the chance of not doing the surgery as outpatient hospital case just in case you do have an issue cardiac wise. Yes it will increase costs but why take a chance.