Thyroid and Liver Problems- Can I Have BA and TT?

Can you have surgery if your liver AST and ALT are high?And also if you have Thyroid just found this out today and my TT and BA is Nov 2011 Please help.

Doctor Answers 9

Tummy Tuck - Thyroid and Liver Problems- Can I Have BA and TT?

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It's a question of degree, and this is something you've have to resolve by consulting both your internist and your plastic surgeon.

The first question is WHY these test are abnormal.  It is not, obviously, typical to have abnormal lab tests, so that should be addressed.  Sometimes, when the test is repeated these value, particularly if they were only mildly elevated, may result in normal values.  Sometimes not.

Either way, speak to your internist ASAP, tell him or her what you're planning on having done, and see if you can get this addressed before your scheduled surgery.  You may need to reschedule your surgery or you may be cleared for the current schedule but, above all else, you need to have this investigated and to make sure you're okay.  With or without surgery.

I hope that this helps, and good luck,

Dr. E

Abnormal tests before surgery

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Find out why your tests are abnormal and get yourself treated before doing any surgery. You will heal better and reduce the chances of getting complications. Let your surgeon know that you might have to delay your surgery.

Surgery with liver and thyroid problems is always possible!

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Of course, regardless of your liver or thyroid status, if you were in a car wreck and needed surgery to save your life, then there is no question about the appropriateness of proceeding with necessary surgery. The risks are higher than NOT proceeding.

But with elective cosmetic surgery, taking on unnecessary risks becomes another thing entirely!

Your internist or family practitioner should evaluate WHY your liver enzymes are elevated (how much is another issue), as well as identify the cause and proper treatment for your thyroid issues. More testing may be needed, and the driving force here should not be the timetable of your scheduled elective surgery, but your overall health and suitability for anesthesia and elective cosmetic surgery. THIS is why patients are required to have a complete medical history, physical examination, and lab tests PRIOR to undergoing surgery (especially elective)--we want to ensure as much safety as possible.

Anything less is foolish. Follow up with your own physician, and reschedule with your plastic surgeon if necessary--he or she will certainly want what's best for your overall health. (We prefer our patients to be out walking around and showing off our good work and results, rather than just looking good in the casket!)

Elevated liver enzymes may simply be related to the party you were over-served at last weekend, or medications you take, or could be a sign of other more serious issues. Don't ignore this; don't seek reassurance on-line; go see your doctor! Best wishes!

Richard H. Tholen, MD, FACS
Minneapolis Plastic Surgeon
4.9 out of 5 stars 263 reviews

Cosmetic surgery in a patient with liver and thyroid issues

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Cosmetic surgery is elective and your health should be your prime concern. In patients with liver issues, there can be difficulties in tolerating the anesthesia and also in proper blood clotting. A thyroid issue also can affect blood pressure, both high and low so that needs to be checked out and all liver and thyroid functions should be as normal as possible prior to any elective cosmetic surgery.

Julio Garcia, MD
Las Vegas Plastic Surgeon
4.8 out of 5 stars 27 reviews

Medical clearance before plastic surgery

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In general patients can have cosmetic surgery with elevated liver AST and ALT as well as abnormal thyroid hormone levels depending on how abnormal they are, whether the condition - levels have been stable over time and whether or not the corresponding medical condition has been normalized by appropriate medical care. Without more details it is impossible to say whether you specifically can safely have the surgery. I just did an abdominoplasty on a patient last week with elevated AST and ALT but those values had been stable for over a year and multiple hepatitis B and C screens had been negative.

No one with uncontrolled hyperthyroidism should be undergoing surgery because of the life threatening risk of thyroid storm. On the other end of the scale uncontrolled hypothyroidism can delay the healing process and ruin the results of a cosmetic surgery.

Before any surgery you need to be medically evaluated and your physical condition optimized. During and after surgery your medications should be adjusted as needed. That would be the safest path for you to take.

I hope you realize that this format of posting questions and receiving answers lacks the face to face direct communication required for you to make an informed decision regarding your surgery.

My response to your question/post does not represent formal medical advice or constitute a doctor patient relationship. You need to consult with i.e. personally see a board certified plastic surgeon in order to receive a formal evaluation and develop a doctor patient relationship.

Aaron Stone, MD
Los Angeles Plastic Surgeon

Abnormal lab tests and tummy tuck/breast augmentation

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If you have abnormal lab results, the reason(s) underlying the changes should be fully explored.  The results that you mention do not necessarily mean that you cannot have your scheduled surgery.  I would recommend that you have your internist and/or plastic surgeon make the appropriate referrals.    After adequate evaluation and treatment (if indicated), you may be able to proceed with your surgery.  You should also be sure that your anesthesia provider is aware of the abnormalities.  Go ahead and get this checked out and don't worry.  Good luck.

Eric T. Emerson, MD, FACS
Charlotte Plastic Surgeon
4.7 out of 5 stars 29 reviews

Tummy Tuck and Breast Augmentation

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Your surgeon and anesthesiologist should know about these findings.  Your elevated AST and ALT are merely indicators.  The degree of elevation is important, and whether or not other lab abnormalities are present (alkaline phospatase and bilirubin, hepatitis screen, etc.) is germane.  If these are new findings, they should be pursued to know exactly why they are elevated.  While the lab studies themselves are no contraindication to your procedure, an understanding about why they are elevated should probably be developed before cosmetic surgery.  

Regarding your thyroid function abnormality, this too should be investigated prior to cosmetic surgery.  Get clearance from your medical doctor(s) before proceeding.  Let your plastic surgeon know what is going on.

Steve Laverson, MD
San Diego Plastic Surgeon
4.9 out of 5 stars 50 reviews

Plastic Surgery with Medical Problems?

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Thank you for the question.

The medical issues and laboratory findings that you have described do not necessarily  make you a poor candidate for the scheduled procedure. However, it would be in your  best interest to be seen by your family doctor or internist (before surgery) to determine and/or treat the causes of the abnormal laboratory findings.

This medical evaluation may provide useful information to your plastic surgeon and anesthesiologist.

I hope this helps

Sugery and abnormal blood tests, abdominoplasty and breast augmentation

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you need to have a work up by an endocrinologiest and liver/ GI specialist.   why are your LFT's elevated

General anaesthesia can affect the liver depending on meds used.  other meds can  affect the liver as well

you need medical clearance

Jed H. Horowitz, MD, FACS
Orange County Plastic Surgeon
4.9 out of 5 stars 116 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.