What lab work do Plastic surgeons request prior to Neck Lift surgery?

Question

What lab work do Plastic surgeons request prior to surgery? My cholesterol and triglycerides are slightly high. What is the highest blood pressure acceptable? When nervous mine goes to 147/93, when calm it’s 138/88. Would any of these disqualify me?

Edwin F. Williams, III, MD · Answer

Thank you for your question. There are different requirements for what labs are needed based on the procedure and location of the procedure. A slightly elevated cholesterol and triglyceride is fine. It is important to get your blood pressure into the normal range prior to surgery, as high blood pressure both intraoperatively and postoperatively can contribute to an increased risk of hematoma formation. I suggest working with your primary care physician to optimize blood pressure control prior to your procedure. Best of luck!

Michael I. Echavez, MD · Answer

Each surgeon will have their own list of lab work that might need to be done before a neck lift.  I would check with the surgeon that would be performing your neck lift to determine what lab tests you might need before your surgery.  In my opinion, a blood pressure of 147/93 would not necessarily be disqualifying for surgery, but the overall health of the patient is important.

Brian K. Machida, MD, FACS · Answer

Your cholesterol and triglycerides would not prevent a surgery. Also, the Blood pressure can be lowered during surgery with mild sedation. All of these would not preclude your surgery.

James Shire, MD · Answer

Every doctor is a little different in what they require. Our surgery patients must have CBC, PT, PTT, and a chem. profile. Blood pressure is extremely important to be steady within normal limits. Systolic 130 or less and diastolic 82 or less. Please discuss your concerns with your surgeon.

Zoran Potparic, MD · Answer

Since neck lift is done in sedation and local anesthesia in out practice, we ask our patients to have set of simple labs and medical clearance from their primary care physician or internist; patient over 40 years old also need EKG. Those that have history of high blood pressure are advised to take their regular medication morning of surgery. Additionally, we give fast acting blood pressure medication (Clonidin) to patient to take if their BP is over 140 one hour before surgery. Increased cholesterol is not a reason to do anything specific but keep taking your cholesterol meds as prescribed. Hope this helps.

William Portuese, MD · Answer

It really depends upon your own health history as to what lab tests are ordered. Your blood pressure it Is too high for a neck lift surgery, and you're at significant risk for a hematoma after the surgery. Best to see your primary care Doctor to get your blood pressure under control before surgery

What lab work do Plastic surgeons request prior to Neck Lift surgery?

Answers (6)

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