Blood Work Necessary Before Rhinoplasty?

Hello,
Every physician has their own protocol. With my patients, I require a complete physical and blood work prior to surgery so that I am aware of any medical issues one may have. Hope this helps answer your question. Thank you and best of luck.
Dr. Nassif

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,
--DCP

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.