I'm scheduled to have a tummy tuck along with a BBL in 3 weeks. Is it safe if I have a left bundle branch block?

Question

Hello. I'm scheduled to have a tummy tuck along with a BBL. I have a left bundle branch block but I only go into LBBB when I'm very stressed or nervous but my structure is good and strong in 32 year old female. My cardiologist (ep) cleared me for the procedure and said I'm very low risk. Will having a LBBB on and off when I'm nervous stop my surgeon from doing my procedure even though he has a cardiac clearance?

Ronald J. Edelson, MD · Answer

It sounds like you have a rate related bundle branch block. Your cardiologist has cheated you. As long as your surgeon and anesthesiologist agree surgery should be safe.

Stephen T. Greenberg, MD, FACS · Answer

Thank you for your question. It is up to your Surgeon if he or she feel comfortable to continue with the procedure with the medical history you notify them of.  I would suggest speaking in depth with your surgeon and following their protocol.  Best of luck to you.

Emmanuel Mallol Cotes, MD · Answer

Thank you for your question. To provide a valid medical opinion I will need to see pictures of you body from different angles. I would suggest to be treated by board certified plastic surgeon with experience in this procedure, to get the best desired results.

Respectfully,
Dr. Emmanuel Mallol Cotes.-

Respectfully,
Dr. Emmanuel Mallol Cotes.-

Casey Anderson, MD, FACS · Answer

This will need to be discussed with your surgeon who will have to decide if they want to proceed. Your procedure is completely elective so your surgeon may not be willing to risk your health in this circumstance.

Kenneth Hughes, MD · Answer

Based on the fact that your cardiologist cleared you for the TT and BBL and states that your risk is very low for a LBBB, your board certified PS will have to decide if having the TT and BBL during the same surgery is wise. Based upon your "electrical wiring system" medical history, the two of you may decide to stage the procedures with the lipo/BBL performed first; three to six months later, have the TT.

Daniel Barrett, MD · Answer

Dear tntforever2,
you should be healthy prior to surgery and your medical conditions should be under control. You might need a clearance from your cardiologist. Every plastic surgeon has his own preoperative protocol which he recommends to his patients. I would suggest you to discuss this with your plastic surgeon.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Nelson Castillo, MD · Answer

Thank you for sharing your question.  This is a situation where your surgeon needs to know your medical history in order to keep you safe.  Speaking with your cardiologist to take any considerations into account, a team effort will make the best decision for surgery moving forward. Best wishes.

Connie Hiers, MD, FACS · Answer

If your cardiologist has clearance you for elective surgery, then you should be ok. You will be monitored prior, during, and after surgery for any irregular heart rhythm. If needed, you may need to spend the night. Please discuss your concerns with your surgeon.

Camille Cash, MD · Answer

Be sure that you have provided your full medical history to your surgeon as well as the name of your cardiologist.  If there are any questions with your permission your surgeon can speak to your cardiologist directly.  You will be monitored closely, as are all patients, during surgery.

Mats Hagstrom, MD (license on probation) · Answer

For your sake and the sake of the surgeons, anesthesiologist and everyone involved I sure hope that you were honest during your medical intake and told your plastic surgeon about your medical history.

Based on the question alone it sounds like you didn’t disclose your full medical history to your plastic surgeon.

Did you have a proper consultation? Did you have an in person consultation? Do you have a preop visit before your surgery?

Your post races many red flags and I suggest you contact your plastic surgeon immediately and disclose your medical history and share your concerns.

Surgeons do not like surprises.

Best,

Mats Hagstrom MD

I'm scheduled to have a tummy tuck along with a BBL in 3 weeks. Is it safe if I have a left bundle branch block?

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