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Age in and of itself is not a contraindication to cosmetic surgery. Many patients also have high blood pressure which is not a contraindication either. The pacemaker is more tricky. 1. Any surgery must be done in close communication with your cardiologist and anesthesiologist2. there are certain limitation to depth of anesthesia when performing office based surgery on pacemaker patients3. Usually a magnet is placed on the pacemaker to prevent it from depolarizing during bovie electrocautery4. when the magnet is removed the pacemaker functions normally5. You can see the pacemaker firing when monitors are attached to the patients
Hello! Thank you for your question! Age alone is not a contraindication to a surgical procedure. There are a few medical comorbidities that contribute to a higher risk during any surgical procedure including infections, wound complications, delayed wound healing, bleeding, anesthetic risks, etc. Factors such as diabetes, hypertension, coronary artery disease, heart problems, lung problems, etc are more common in the elderly. However, if you are healthy, or these conditions are well-controlled, you would certainly still be a candidate for a surgical procedure. If your complaints or desires are great enough to consider the surgical option, I would seek a consultation with a plastic surgeon to discuss your complaints and go over the options as well as risks and benefits of the procedure.You should obtain medical clearance from your primary care physician that you are at an acceptable risk for undergoing a surgical procedure. For elective or aesthetic procedures, your surgeon may want to get you to a reasonable health status prior to consideration for a procedure. Discuss all of your medical comorbidities and medication with your surgeon prior and discuss these risks. Also, discuss this with your anesthesiologist as proper monitoring and medications will be watched closely. This procedure should still be very safe for you and hope for an uncomplicated course with an excellent result! Hope that this helps! Best wishes!
A facelift in an 80 year old with a pacemaker may be more risk than most plastic surgeons want to take. Kenneth Hughes, MD Los Angeles, CA
if there is a anatomic indication for a facelift and facelift is a reasonable intervention inedependent of age. so if there is cheek descent, jowels, obtuse cervicomental angel a facelift is likely indicated, what is more important than age is a patients medical conditions and their understanding of the procedure adn its risks and benefits.
As long as she gets medical clearance from her cardiologist, has her blood pressure controlled, and gets the pacemaker 'serviced' she should have an acceptable level of risk. Age alone is not a huge issue as long as general health is OK