Is a person with Bradycardia at risk of having plastic surgery(mommy makeover)? (Photo)

Question

Currently, a vegan and eating healthy such soy, Boca, Morning star, Lightlife products. No process foods,no meats, or dairy. All laboratory tests are good such as CBC, CAT scan,blood pressure 105\65 but a slow heart rate and vitamin D deficiency.

Vincent N. Zubowicz, MD · Answer

Patients that are aerobically fit often have bradycardia. There are other medically significant issues that can cause this but it doesn't sound like that applies to you. You can discuss this with your plastic surgeon and anesthesiologist.

Christopher J. Morea, MD · Answer

Bradycardia is not a contraindication to surgery or mommy makeover.  Many patients with bradycardia have a very healthy heart as a result of running and exercise.  Your physician may ask for a cardiac evaluation prior to surgery which is reasonable as your safety should be their utmost concern. Best of luck,

William T. Stoeckel, MD · Answer

Bradycardia is simply a relatively slow heart rate. Many patients with bradycardia are extremely healthy and the condition can be a sign that the heart is extremely efficient at pumping blood to the rest of the body. But there are times when a bradycardia condition can indicate that the heart is not functioning properly. You may need to have a cardiologist evaluation to know for certain if you are at any increased risk with surgery. Following a vegan diet can be very healthy. But it also can make it difficult to maintain the proper level of protein needed to heal large surgical wounds. I would recommend getting a complete evaluation of your protein levels before having a tummy tuck surgery. This would include checking an albumin, prealbumin, and any other tests suggested by your surgeon.

Martin Jugenburg, MD · Answer

Having bradycardia is not a problem.  If you are concerned and want to be checked out, your surgeon would probably want a note from your family doctor summarizing your overall health and any cardiac-related assessments.

Earl Stephenson, Jr., MD, DDS, MBA · Answer

Sounds like you're living a very healthy lifestyle. You should have your bradycardia checked by a cardiologist to make sure that this is not a product of your healthy living versus a problem with your heart. If you get clearance by her cardiologist you should be to have body contouring surgery if a plastic surgeon deems you suitable.

Kenneth Hughes, MD · Answer

Bradycardia should be investigated to determine its nature.  If it is not pathological, then it will not pose a threat.Kenneth Hughes, MDLos Angeles, CA

Camille Cash, MD · Answer

I encourage you to begin by visiting with your primary care physician to discover the underlying cause for your bradycardia and Vitamin D deficiency.  Some people have a slow heart beat related to regular cardio exercise and healthy living.  Since your safety is always the priority it may be best to have it assessed first.

Lavinia K. Chong, MD · Answer

As long as you don't have light headedness, fainting spells, chest pains, can exercise and are young, a slow heart rate isn't usually a problem for elective surgery, MM.  Check with your PS and Anesthesiologist to ensure that they are aware of this condition and don't require any further evaluation.  Many centers also require a pregnancy test to complete the remaining pre-op evaluation/tests.  Good luck.

John J. Edney, MD · Answer

Bradycardia is often an indication of good physical fitness.  If however your surgeon feels that your bradycardia is the result of some type of underlying cardiac abnormality it should be checked out thoroughly before you undergo any type of elective surgery.

Tom J. Pousti, MD · Answer

Thank you for the question. Bradycardia, in and of itself, is not a contraindication to proceeding with “mommy makeover surgery”. On the contrary, in most cases, the bradycardia is a physiologic sign of a very healthy/active person. Occasionally, bradycardia may be a sign of an underlying cardiac condition; therefore, best to be seen by  your internist or a cardiologist for “clearance” prior to proceeding. Again, it is most likely that you will be able to proceed.
When it comes to the selection of your plastic surgeon, I would suggest starting with the American Society of Plastic Surgery and/or the Aesthetic Society of Plastic Surgery to obtain a list of well experienced board-certified plastic surgeons. Then, I would suggest you visit a few surgeons whose practices concentrate on aesthetic surgery. Ask to see lots of examples of their work and preferably speak/see patients who have had similar procedures done.
You will find, while doing your due diligence, that there are many different “specialties” who will offer their services to you; again, I strongly recommend you concentrate on surgeons certified by the American Board of Plastic Surgery. 
Since you considering undergoing a major operation which often involves a significant physical and emotional recovery (often underestimated by surgeons and patients alike), a few words of advice may be helpful:
1. Make sure you are doing the procedure for the right reasons (for yourself) and that you have realistic expectations. Be aware that an improvement in the “problem area” may not translate to an overall improvement in your life situation. You are bound to be disappointed with results of the procedure if your motivation for doing the surgery is not internally driven.
2. Time your surgery carefully; generally, it is not a good idea to have surgery done during or immediately after a stressful period in life (for example divorce or death of a loved one). The additional stress of surgery will undoubtedly be more challenging to deal with if a patient's emotional reserves our already exhausted. Remember, that an improvement in your physical appearance will not translate to an improvement in your life situation.
3. If possible speak to patients who have undergone similar procedures and query them about the toughest times of their recovery period. Any practical hints previous patients can provide may be very helpful.
4. Make sure you are aware of potential complications that may arise how to reach your surgeon if necessary.
5. Make sure you have a strong and patient support system (several people if possible) in place who have time/patience to take care of you. Arrange for professional nursing if any doubt exists regarding the availability and/or stamina of your caretakers.
6. Be patient with the healing process, understanding that it will take several weeks to months to feel “normal” again. It may also take many months/year to see the end results of your surgery.
7. Be prepared to distract your mind with things of interest such as books, magazines, and movies.
8. Expect less of yourself; do not go back to work, school or chores too early and let others take care of you (for a change).
9. Pick your surgeon carefully (a well experienced board-certified plastic surgeon) and trust in his/her advice. Keep in close communication with your surgeon and do not hesitate to communicate questions/concerns and the emotional swings that you may experience.
10. Resume all medications that you were using preoperatively when cleared by your plastic surgeon and stop the use of narcotics and sedatives as soon as feasible after surgery.
11. Keep in mind the end results as you go through the tougher emotional times after your surgery.
I hope this, and the attached link (dedicated to “mommy makeover” concerns), helps.

Is a person with Bradycardia at risk of having plastic surgery(mommy makeover)? (Photo)

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