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.