Mitral Valve Prolapse - Safe to Have a Mommy Makeover?

Mitral valve prolapse is a relatively common cardiac
condition.In the vast majority of
cases, it doesn’t represent a contraindication to Mommy Makeover surgery.Nevertheless,
it’s appropriate to obtain a cardiology consultation prior to surgery.If clearance is given by this specialist,
it’s reasonable to proceed with surgery.Under these circumstances, surgery can be accomplished safely and
provide excellent clinical results.

Mitral valve prolapse is usually not a contraindication to having srgery or multiple procedures performed. I would recommend a medical clearance from your Cardiologist or Internist and perioperative antibiotics.

A mitral valve prolapse does not mean you heart is in bad condition.  Sometimes the valve has a small leak with little to no decrease in your heart's function.  I would check with you primary care doctor to ask how significant your valve prolapse is.

Thank you for your question.  With mitral valve prolapse, you'll need clearance from your internist or cardiologist before any surgical procedures.  After you get this clearance, make sure your anesthesiologist knows what is going on as well to prevent any sudden cancellations before your surgery.  However, once you get the "green light" from your surgery you should be just fine.  Good luck!

Regardless of your mitral valve prolapse this is too much surgery in one session.  Regarding your mitral valve prolapse, cardiology clearance is recommended prior to any cosmetic surgery.  Please rethink you decision about having this done all at once.

Dr. ES

Mitral valve prolapse is usually not a contraindication for a mommy makeover surgery but each patient should be evaluated by a cardiologist to rule out other associated problems. If it is just a mitral valve prolapse it should be just as safe to perform surgery on you like any other healthy patient

Your preoperative physical should address whether the mitral valve prolapse (MVP) is an issue or not, and if it appears to be a concern, further evaluation and workup by a cardiologist can address these issues. In my experience, most patients with MVP are cleared for cosmetic surgery (though perioperative antibiotics are recommended, and are used anyway), and have no increased risks from this standpoint.

Of greater concern is the fact that you are having so much liposuction in addition to the "main events" of breast lift plus implants, and tummy tuck. Will your surgeon "rush" these "main" surgeries to allow completion of all of the other areas of smart-lipo? Just add up the areas: 2 hips, 2 thighs (only if one location on the thighs, could be lateral and medial which would be 4 areas), 2 arms, chin, and back = 8 (or more) separate operative sites, each requiring infiltration of fluid, laser treatment of the fatty tissue, aspiration of the liquefied fat, and a stitch or two. And of course, you want careful sculpting, not rush and go surgery! Say 15 minutes per site MINIMUM; that equals 2 hours or more, and leaves only 5-6 hours for a breast lift plus implants, and a full tummy tuck. Sure, it can be done, but either your surgeon will compromise (say staples for closure rather than "under-the-skin, hidden, dissolving" sutures, or "skipping" the muscle plication for the tummy tuck), or surgery that concentrates on speed rather than quality. And don't forget that your once your operation is over there is bandaging and compression garments for all of these areas. That adds to the anesthesia time, and unless you have an explicit agreement that your charges are completely prepaid, there may be an unwelcome surprise when you get a bill for the additional operating room, anesthesia, and anesthesia provider time!

And that's only the issue IF you don't have any kind of intra-operative or post-operative complication requiring hospital admission (even if it's just for "nausea," you get another bill!) and overnight stay.

Don't get me wrong, I do many combination procedures, some lasting as long as you have planned. I am just of the opinion that with the list of procedures you are contemplating, perhaps your surgeon is "cutting corners" or not being entirely forthcoming with the total anesthesia time (and possible additional costs). Consider another consultation with an experienced, board-certified (American Board of Plastic Surgery) plastic surgeon, or consider having your surgeon carefully outline the time-line and at least discuss a two-surgery approach! Best wishes!

This is alot of surgery and the planned procedure should be discussed in combination with your cardiologist. You may require pre-operative testing such as an echocardiogram or stress test. Peri-operative antibiotics may also be warranted if recommended by your cardiologist.

Thank you for the question.

Mitral valve prolapse is very common and usually not an issue,  especially once you've had it worked up by your internist/cardiologist.

I would not suggest elective surgery that lasts almost 8 hours for a number of reasons related to safety and surgical outcome.

I hope this helps.

Yes, mommy makeover surgery can be safely performed in patients with mitral valve prolapse.  

However, it depends on the function of the mitral valve.  Most mitral valve prolapse causes very little regurgitation, or back flow.  

This type of mitral valve prolapse is common and is detected as a heart murmur which can be better evaluated by a simple ultrasound study performed in a cardiologist office.

Treatment with prophylactic antibiotics is usually all that is required for safe performance of mommy makeover surgery in most  cases  of mitral valve prolapse.

For more severe cases your may require medical therapy to optimize you heart function, and you may or may not qualify for elective cosmetic surgery.