I have sickle cell anemia with asthma and really want a breast lift w/o implants, is it possible?

Question

I'm 44 and I have sickle cell anemia with asthma, I Really want to get a breast lift w/o the implants. Can I get this done with my conditions. If not what are my alternatives. I hate how my breast are sagging. It's humiliating and depressing.

Jeff Angobaldo, MD · Answer

Hi there, and thank you for your question. That is a great question. Every surgeon will have different requirements in regards to your clearance for surgery based on your medical history. Some surgeons may not perform the surgery. Typically, with asthma, it depends on how active your asthma is. For example: Are you on chronic steroids, when is the last time you used your inhaler, have you recently been hospitalized, etc. As far as the sickle cell, I would recommend or suggest that you get hematology clearance to ensure you are a safe candidate. I would advise you to find a board certified plastic surgeon that you are interested in and discuss this with them to see what his/her requirements will be to perform a safe surgery.

Kenneth Hughes, MD · Answer

Hello.
Great question. In a patient whose asthma is well managed or has not been symptomatic for a long period of time, the BL can be performed. Your board certified plastic surgeon may require a screening by a hematologist prior to scheduling your surgery, but having sickle cell anemia should not prevent the BL from occurring.

Gary M. Horndeski, MD · Answer

You can have a breast lift after you receive medical clearance.  The technique I recommend is The Bellesoma Method.  This will reshape your breast tissue creating upper pole fullness without implants, elevate them higher on the chest wall and more medial to increase your cleavage.  Vertical scars are avoided, nipple sensation and the ability to breast feed are maintained.Best Wishes,Gary Horndeski, M.D.

Daniel Barrett, MD · Answer

Dear LadyPearl4,
if your medical conditions are well controlled and you get a clearance from your doctor, you might be a candidate for surgery. My preferred lift is a lollipop lift when a periareolar won't do (ie greater than 2cm lift required). The lollipop technique was created by a Canadian plastic surgeon named Elizabeth Hall-Findley and treats the breast as a three dimensional structure instead of two dimensions (anchor - lift). Most importantly it does not require the horizontal component scars that the anchor-lift requires and breasts appear much more natural, lifted, and less boxy. Lastly, the lift lasts longer because the lollipop doesn't rely on the skin to hold the breast up, its actually breast tissue thats being brought together to support the breast and hence improves longevity. 
If you are considering a surgery, I would suggest you to 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

Scott W. Vann, MD, FACS · Answer

Sickle cell disease and asthma are both medical conditions that have to be considered when you are having any kind of surgery. Your plastic surgeon will want you to be evaluated and cleared for surgery by your medical doctors who are treating your conditions. They may or may not allow elective surgery or may require special pre and post op treatments. Good luck.

Connie Hiers, MD, FACS · Answer

You will need a medical clearance from your medical physician. If cleared, you should be able to have surgery. I would advise having surgery at a facility, like a hospital, where you could be admitted overnight if needed.

Darryl J. Blinski, MD · Answer

Yes you can have a breast lift surgery after you obtain in writing medical clearances from your hematologist and pulmonary MDs. Plus a recent mammogram is also required. I might offer outpatient hospital surgery over office surgery.

Jeffrey C. Hamm, MD - Account Suspended · Answer

Hi and welcome to our forum!
Medical clearance is required in this situation as you have 2 significant disease entities. The degree of anemia, the extent of sickle cell illness (trait vs. disease), and your pulmonary function will prove extremely important in your medical evaluation as safety is the physician's prime concern. Outpatient surgery in a hospital setting would be preferable to an ambulatory surgery center if deemed a satisfactory surgical candidate.. 
Visit a board certified plastic surgeon for evaluation and discussion.
Best wishes...

I have sickle cell anemia with asthma and really want a breast lift w/o implants, is it possible?

Answers (8)

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