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48 and Asthmatic is a Breast Lift and Tummy Tuck Safe to Do Together?
Doctor Answers 14
A Mommy Makeover and Asthma
It's difficult to suggest without a in-person one-on-one consultation. The Mommy Makeover is a combination of procedures to bring a woman’s body back to the way she looked prior to pregnancy. Most commonly some variation of a #TummyTuck and #BreastSurgery are performed. Additional procedures can include liposuction, umbilical hernia repair. The most common #breastprocedures include #mastopexy or #breastlift, #breastaugmentation, or #breastreduction.
#Combined operations are often performed with our #Gynecology colleagues. Tubal ligation is a common post pregnancy procedure which is done at the time of many of the surgeries included with a #MommyMakeover. If you require a gynecologic operation or study (laparoscopy) and are considering a plastic surgery procedure, discuss these issues with your physician and board-certified plastic surgeon. Also, combining these #procedures may decrease anesthetics, costs, and recovery time.
In addition to a one-on-one consultations with a board certified Plastic Surgeon, patients always need to be seen by their primary care doctor prior to such procedures. We screen every patient and their medical records for risks of blood clots (DVT) and then take appropriate measures. MWL (massive weight loss patients of 75 lbs or more) tend to have poor skin elasticity and will frequently need additional tightening even afte 6 -12 months regardless of who or how their surgery is performed. This is simply the nature of such body tissues and the ability to heal with the lack or limited elasticity.
Your procedures should be performed by a #PlasticSurgeon who is board-certified and has a great deal of experience specializing in cosmetic #surgery. You will then greatly improve your chances of getting the result you desire, and, without the need for a revision surgery. It is suggested that you look at before and after photos of the surgeons actual patients, and read patient reviews. Gathering all of this information will help you make a well-informed decision.
Asthma and Surgery
On the other hand, if your asthma is poorly controlled, or you are steroid-dependent, you are at increased risk and therefore it is recommended that your asthma specialist provide any needed specific medical preparation prior to surgery including a written plan to give to your surgeon and anesthesiologist regarding asthma medication recommendations pre- and post-surgery. This will include a complete pre-surgical evaluation including pulmonary function test results, physical examination, and review of your medications and past medical problems. If your pulmonary function tests are not optimal your asthma doctor and/or anesthesiologist may choose to postpone surgery until your asthma is under optimal control prior to giving surgical clearance. In addition, it is advisable that you contact that anesthesiologist beforehand to discuss any issues that might arise and their management. . This is because surgery may cause an asthma flare or related bronchospasm during or immediately after surgery. Make sure you tell the anesthesiologist and your surgeon the amount and type of steroids you take so additional steroids can be given to prevent adrenal insufficiency which can result in a sudden blood pressure drop.
Multiple procedures can be safely performed in one setting. But it depends on your health status (past medical history), your anatomy, and the amount of surgery/type of procedures to be done. If your asthma is well controlled and managed by your internist/PCP or pulmonogist, you should be OK. Your surgeon may recommend an overnight stay depending on the overall length of your procedure(s). Please confirm that your plastic surgeon is board certified plastic surgeon specifically by the American Board of Plastic Surgery and a member of the American Society of Plastic Surgeons. Wishing you a speedy recovery.
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Patients with asthma can have combined operations safely is the asthma is under control.
Most studies show the combination procedures are just as safe as staggering the procedures. The patient with well-controlled asthma that is otherwise healthy can safely undergo an abdominoplasty in breast surgery.
Asthma and mommy makeover.
There is a large degree of variation in asthma from patients who have minor exercise induced asthma to those requiring a rescue inhaler throughout the day. Preoperative clearance, possible discussions with your pulmonologist, and anesthesia consultation for considerations in regard to procedure length and safety will all help determine what's right for you. A mommy makeover is a long operation for most patients and it is certainly reasonable to stage it if there is any question.
Mommy makeover can be performed safely with Asthma
A few years ago I switched to TIVA (total intravenous anesthesia) for all my cosmetic surgery. This has made the safety issue with asthmatics much less. We pre-treat with your inhaler before surgery and have had no problems with triggering asthmatic attacks in the perioperative period. If you are steroid dependent or still smoke this changes the ballgame. Good luck in your quest.
Tummy tuck and breast lift with asthma
These procedures can safely be performed together; asthma should not interfere with this at all. General anesthetics are usually good for asthma since they can be used to deliver bronchodilators.
Breast Lift and Tummy Tuck is safe when combined
Age alone is does not make a procedure unsafe. It depends on how severe is your asthma and can your body cope with the long anaesthetic. Your PS and Anaesthesiologist can tell you at the Pre op consult. If you have no other medical issues then I dont see a problem.
Safety of breast lift plus tummy tuck
Thank you for your question about combining a breast lift and tummy tuck.
- Age alone does not affect combining breast lift and tummy tuck.
- Well controlled asthma does not affect having a breast lift and tummy tuck.
- What is important? Length of surgery, obesity, diabetes, chronic lung or heart disease, past blood clots - among other issues.
- A good surgeon will assess your health before surgery. Hope this helps.
Safety of Multiple Procedure Surgery at 48?
Given that you are considering major surgery, some additional words of advice may be helpful to you. Patients who are about to undergo tummy tuck surgery spend a lot of time thinking about the physical preparation for the procedure (for example weight loss issues) but do not spend a lot of time thinking about the emotional aspects. It is not uncommon for patients who undergo the procedure to experience severe “mood swings”. These emotions may range from depression ( “why did I do this to myself”) to elation (which may lead to over activity). I think it is helpful to be aware that these emotional swings do occur postoperatively.
Suggestions I have for patients undergoing this procedure: 1. Make sure you have a strong support system in place who have time/patience to take care of you. 2. Be patient with the healing process, understanding that it will take several weeks to months to feel “normal” again. 3. Be prepared to distract your mind with things of interest such as books, magazines, and movies. 4. Expect less of yourself; do not go back to work too early and let others take care of you (for a change). 5. Keep in close communication with your surgeon and do not hesitate to communicate questions/concerns and the emotional swings that you may experience. 6. Keep in mind the end result!
I hope this helps.
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.