Is it safe to get a mommy makeover w/ stents?

I have operated on patients under general anesthesia with stents in place successfully. Depending on the type of surgery this has been performed in my office operating room or the hospital. The planning for surgery however must be coordinated with you medical doctors. In some cases they want anticoagulation in your system at all times. We have used injectable low molecular weight heparin to accomplish this and then placed the patient back on their previous medications after surgery. It is of paramount importance that your plastic surgeon coordinate your care with your cardiologist and general internist.

My response to your question/post does not represent formal medical advice or constitute a doctor patient relationship. You need to consult with i.e. personally see a board certified plastic surgeon in order to receive a formal evaluation and develop a doctor patient relationship.

Safety
should be everyone’s first priority when performing mommy makeover
surgery.  For this reason, every patient
should undergo a comprehensive medical evaluation prior to surgery.  When patients’ have pre-existing cardiac problems,
it’s appropriate to modify the treatment plan.

            Surgery shouldn’t be performed
without a cardiology consultation in someone who has coronary artery disease
and coronary artery stents in place. 
Under these circumstances, surgery should be performed in a fully
accredited inpatient surgical facility. 
This environment should provide all the necessary resources to handle an
acute cardiac emergency.

            In this situation surgery should be
performed under general anesthesia with a board certified anesthesiologist in
attendance.  When these steps are taken the
margin of safety is increased dramatically. 

Discuss this with the surgeon and anesthesiologist before you make any decision.  Also discuss with the Dr. who prescribes the Plavix.

If you have previous cardiac issues, then you would need a complete cardiac workup and medical clearance from your cardiologist prior to surgery.  Additionally your surgery should be done in a fully accredited hospital so that all resources would be available in the unlikely case of a cardiac issue during surgery.  Additionally, should you have surgery, it should be done under anesthesia, performed by a board-certified anesthesiologist, with proper monitoring and post-op care plan.  Plastic surgery is elective surgery and every precaution should be make to ensure your safety.

 

Good Luck.

Because mommy makeover is an elective surgery, you want to make sure that your medical condition is optimized in order to prevent peri-operative risks and complications.  You need a clearance/ and a thorough evaluation from your cardiologist.  Depending on your cardiologist's recommendation, you will need stress test/echocardiogram.  Please make sure that your plastic surgeon, anesthesiologist, and cardiologist communicate prior to your surgery and agree on peri-operative care such as Plavix and need for anticoagulation.  You should stay in the hospital after surgery; general anesthesia would be safer for you.  

Thank you for the question.

Assuming you have your cardiologists'  blessings ( after full cardiac workup),  than having your surgery done by a well experienced board-certified plastic surgeon working with a board-certified anesthesiologist in the hospital  is a right way to go. Generally most surgeons would do the procedure under generalize  anesthesia.

Best wishes.

Having elective cosmetic surgery after coronary artery stenting is possible provided your have appropriate evaluation and take the necessary steps to optimize the safe performance of the surgery.

The major problem is not your heart as much as how to safely deal issue of anti-coagulation.  

Depending on what type of stent you have, you may at some point be able to safely stop taking Plavix entirely.  

In other cases you will need to work with your cardiologist, plastic surgeon and hematologist to prevent clotting of the stented artery and yet stop the Plavix long enough to safely perform the elective cosmetic surgery.

If your doctors feel it is safe to proceed, then you may be able to have the mommy makeover surgery that you desire.

See MommyMakeoverSite.com for more information.

As with any patient undergoing a major procedure, medical clearance is required.  In your case, thorough medical and cardiac clearance prior to a mommy makeover is essential, and the surgery should probably be done in the hospital with an overnight stay.  If your heart attack was as recent as February, it would probably be best to delay consideration of a mommy makeover for at least several months.

In my practice you need a complete cardiac clearance. Stress test with stress echo. and have to PASS the tests 100%.

Then will consider for surgery. May even keep you in the hospital overnight.

The longer you wait the better.

Consult your cardiologist not the internet.

Hi.

It can be done, but up to six hours of anesthesia does carry some increased risk for you.  You need a stress cardiac echo before surgery.