Blood Work Necessary Before Rhinoplasty?

One rhinoplasty surgeon I am considering has not requested me for blood/lab work. Is it standard procedure? Before him, I spoke to many other surgeons who all requested me blood work. I was only asked if I am healthy. Thank you for your information.

Doctor Answers 14

Blood or Lab Work before Rhinoplasty

I always get blood work before Rhinoplasty. Over the past 30 years I have multiple examples which support my personal philosophy. I once saw a lady from Mexico City who came for a rhinoplasty. Pre-op labs showed a blood-clotting disorder. She declined to tell me she was on coumadin ( a blood thinner ) to treat inflammation of her lower leg because she knew I wouldn't do the surgery. Another time we diagnosed an unknown, inherited disorder in a patient's clotting factors. Considering the problems these patients may have had, the inconvenience of pre-op blood work is insignificant.

Beverly Hills Facial Plastic Surgeon
4.9 out of 5 stars 38 reviews

No demonstrable benefit from lab work.

Several studies, including a large study at Mayo Clinic in 1997, show no benefit to pre-operative lab testing for otherwise healthy adults (except for a pre-op pregnancy test, of course, in females of child-bearing age). Although some surgeons get blood work, there is no scientific basis behind it.

Quoting from the Mayo study:

"We conclude that patients who have been assessed by history and physical examination and determined to have no preoperative indication for laboratory tests can safely undergo anesthesia and operation with tests obtained only as indicated intraoperatively and post-operatively. Current anesthetic and medical practices rapidly identify perioperative indications for laboratory evaluation as they arise."

I only advocate testing where there are known pre-op conditions where the test results will determine how to manage the patient intra-op and post-op. These are mostly in reconstructive patients. For cosmetic patients, we set the bar pretty high on who's healthy enough to even be considered for surgery.

All the best,


David C. Pearson, MD
Jacksonville Facial Plastic Surgeon
5.0 out of 5 stars 24 reviews

Blood work is always necessary before Rhinoplasty

ALWAYS! No matter what I require a blood and urine panel before any Level II or III (sedation or general anesthesia) operation. That is just good medicine. In 31 years of Plastic surgery practice you would not believe the medical conditions found by just requiring preoperative testing. From diabetes to urinary infections to pregnancies to lupus to bleeding disorders. Just to mention a few. Maybe it is me but I always want safety. Regards!

Darryl J. Blinski, MD
Miami Plastic Surgeon
4.6 out of 5 stars 173 reviews

Blood work is not a requisite for Rhinoplasty


The only test that really required for a young woman is a pregnancy test. If you have no history of bleeding problems, bruising or anemia, then blood testing is like wearing a belt and suspenders. It doesn't hurt to get it done, but it's not a requirement in this patient group. Good luck!

Kenneth R. Francis, MD, FACS
Manhattan Plastic Surgeon
4.6 out of 5 stars 47 reviews

Young and healthy patients typically do not need blood work for cosmetic surgery or rhinoplasty

If you are young and healthy, that is less than 40, no blood work is required by the American Society of Anesthesia for people having elective outpatient surgery. However, if you have any history of bleeding problems or anemia (low blood count) then it would be appropriate to obtain preoperative blood studies. We do require women of child bearing age to have a urine pregnancy test prior to undergoing any elective surgery or if you are over 40 a preoperative EKG. Obviously, if you have any medical problems that would require additional blood testing. I hope this information helps.

Scott Trimas, MD
Jacksonville Facial Plastic Surgeon
5.0 out of 5 stars 20 reviews

No reason for blood tests on young, healthy patients before Rhinoplasty

I agree completely with Dr. Pearlman. There is no reason to do blood tests on healthy young men under age 35 (American Society of Anesthesia (ASA) risk class I). The overwhelming number of such tests enrich the labs, do not benefit either the patient or the surgeon and are done out of blind fear of lawyers. 99.999% of such "routine" tests are negative and the remainder are false results which force a repeat tests which in turn is negative and does not impact on the surgery. With ovulating women, a pregnancy (HCG) test is usually done to avoid exposing a fetus to anesthetic gas.

IF the patients has any medical issues or is over 35 years (ASA II or III) blood tests, EKG etc are justifiably obtained.

Dr. P. Aldea

Peter A. Aldea, MD
Memphis Plastic Surgeon
4.9 out of 5 stars 108 reviews

Blood tests before rhinoplasty

Not all doctors or hospitals require blood work for young healthy individuals. For my office OR, I obtain blood work just to be on the safe side.

Steven Wallach, MD
New York Plastic Surgeon
4.1 out of 5 stars 29 reviews

There are a few blood tests that are necessary before rhinoplasty

Studies have shown that standard blood tests aren't really necessary for a man under 35 as long as you are healthy and don't have any underlying medical conditions. This is a standard set by the national Anesthesia society. A good screening medical history should be sufficient to discover any major conditions that would require blood tests and/or a clearance from your primary care physician.

For women, the standard is to get two blood tests. The first is an HCG; this is a blood test to make sure you aren't pregnant. Elective surgery on a pregnant woman should not be done. Also, women may be prone to anemia so a red blood cell count is also requested at the same time.

Steven J. Pearlman, MD
New York Facial Plastic Surgeon
4.9 out of 5 stars 125 reviews

Rhinoplasty and Pre-Operative Lab Work

Hi Heather,

Accredited operating rooms and anesthesiologists require at least minimal lab work a few days before surgery. Although 99.9% of the time there is no problem, it's that one case that can cause a disaster. It is a good idea to have your lab work checked before your surgery.

Good luck and be well.

Dr. P

Michael A. Persky, MD
Encino Facial Plastic Surgeon
4.8 out of 5 stars 36 reviews


Hi Heather,

Every surgeon, surgical facility and hospital will have different requirements for preoperative testing.

Most of the requirements are not based on medical facts but precautions to avoid litigation.

In general, patients under 40 without any medical problems or history of bleeding disorders do not need any testing. Thereafter, healthy patients 40+ should have at least an electrocardiogram EKG.

Again, everyone has different criteria.



Oleh Slupchynskyj, MD, FACS
New York Facial Plastic Surgeon
4.8 out of 5 stars 272 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.