Is it better to do a BBL awake since I have WPW?

Question

I came to Miami to have a bbl done was clear by my cardiologist . Did a stress test & echo test pass it all I’m healthy & with no issues . The day of my surgery after being marked up waiting to go in the room . The anesthesiologist said he’s not comfortable doing anything due to the fact that I have wpw . Yet they made me get extra clearance because of it . What can I do & what should I do because I have no issues & I’m very healthy .

Alan Gonzalez, MD, FACS · Answer

Hello @carmel mella, thank you for you question. To perform a BBL while the patient is awake is not safe. That would require local anesthesia, which is very risky since local anesthesia has spikes that can be problematic at very high doses. Patient safety should always be the top priority. Performing a proper surgical plan will prevent you from having to deal with adverse outcomes later on. For more information and recommendations is best to consult with one or several board certified plastic surgeons. Best wishes! Alan Gonzalez MD, FACS.

Daniel Barrett, MD · Answer

Dear carmel mella,
it is hard to tell for sure without an examination. If you got clearance from a cardiologist you should be safe. If you are considering surgery, I would suggest you consult a board-certified plastic surgeon. Only after a thorough examination, you will get more information and recommendations.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Douglas Taranow, DO, FACOS · Answer

Your surgeon made the error of not reviewing your medical issues with the anesthesiologist prior to your procedure.  
With medical clearance in hand, my anesthesia group would go forward with your procedure. 
Best wishes 
Dr. Taranow

Mats Hagstrom, MD (license on probation) · Answer

Wolff-Parkinson-White syndrome can be quite serious and certain situations including medication‘s and surgeries can trigger dangerous and potentially lethal heart arrhythmias.
In case I have some thing going wrong during surgery you’re certainly better off having an anesthesiologist there than not having one. 
I suggest you go back and talk to your cardiologist about the whole situation and get your cardiologist opinion if they feel it’s appropriate and safe for you to have surgery. If they really feel like there is very little risk in elective surgery then you’ll simply need to find a different anesthesiologist or a different surgeon who uses a different anesthesiologist. 
There are risks from the drugs used during awake liposuction that are unique to awake procedures. The amount of lidocaine and often lidocaine with epinephrine used during an awake procedure is far higher than what’s used during general anesthesia cases.
In the end you also need to ask yourself how you feel about increased risk of having surgical procedures since you are the one who will end up with the cardiac arrhythmia if one does happen.
Best,
Mats Hagstrom MD

Jose A. Munoz, MD - Account Suspended · Answer

Hi and welcome to our forum!Wolff-Parkinson-White syndrome is not dangerous for most people. It may be manifested by episodic rapid pounding heartbeat, dizziness, and lightheadedness. If severe, however, treatment may be required, either with medical control or with surgical RF catheter ablation.Each physician has developed a protocol for evaluation and treatment based upon training and years of clinical experience. Every anesthesiologist's past experience plays a role in making a decision for or against performance of a cosmetic surgery procedure.We don't have any clinical information. It may be wise to determine the reasoning of the anesthesiologist in making his / her decision. If you "hit a brick wall" with that approach, consider a preoperative anesthesia consultation with another anesthesiologist before proceeding with rescheduling of the procedure.General anesthesia is the preferable method of anesthesia for BBL.Best wishes...

Is it better to do a BBL awake since I have WPW?

Answers (5)

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