Can I add a tonsillectomy?

Question

I am planning on getting a Bret revision surgery and tummy tuck with no lipo in September. My primary care Dr just told me I should have my tonsils out too. I want my tonsils out the old way with cut and sewn as opposed to the laser. Can my plastic surgeon do that too? I'd like to only take time off once and OR ands anesthesia fee once.

Stuart A. Linder, MD, FACS · Answer

No, plastic surgeons do NOT perform tonsillectomy. Only a board certified otolaryngologist should perform a tonsillectomy. Best of luck in your future mommy makeover.

Jed H. Horowitz, MD, FACS · Answer

I understand your desire to have as much combined into one effort as possible, but a tonsillectomy by your plastic surgeon is likely not a good idea. If you feel like you need this done, maybe the two of you could speak about another surgeon who could complete that for you. Best of luck.

Camille Cash, MD · Answer

I would not recommend combining the procedures that you are considering.  While sterile technique is used for all of them, the oral cavity contains bacteria and could increase risk of infection for the other procedures.  It's best to have your medically necessary tonsillectomy first and have the breast revision and tummy tuck performed in a separate stage.

Gary L. Ross, MBChB, FRCS · Answer

I would have reservations about this combination with a tonsillectomy and I would recommend consulting with both a PS and an ENT / Otolaryngology surgeon and to have an MDT discussion with the anaesthetist to determine the pros and cons.I personally have performed combination body rejuvenation surgery and facial surgery simultaneously. For a tonsillectomy I would always involve an ENT surgeon for this part of the procedure. I disagree with the previous comments that the tonsillectomy would significantly increase the risk of infection in the mommy makeover. However the main issue I foresee is that bleeding from tonsillectomy afterwards can cause increased risks of nausea / vomiting that could increase your chance of haematoma from the mommy makeover.

Joseph Thomas Cruise, MD · Answer

No, this is not a good idea. Plastic surgeons do not perform tonsillectomies. Have your cosmetic surgery performed by a board-certified plastic surgeon who has ample experience with your procedures of interest. And, have your tonsillectomy performed by an ENT specialist who performs this surgery routinely and has a good track record.

Robert Singer, MD · Answer

Plastic surgeons do not perform tonsillectomies. The combination you are proposing is not a good idea from the viewpoint of potential complications.I would suggest that your plastic surgeon be certified by the
American Board of Plastic Surgery and ideally a member of the American Society
for Aesthetic Plastic Surgery (ASAPS) that you trust and are comfortable with.
You should discuss your concerns with that surgeon in person.
Robert Singer, MD FACS
La Jolla, California

Brian Widenhouse, MD · Answer

Under no circumstances should plastic surgeon perform a tonsillectomy. You should see a board certified ENT for that procedure. Good luck!

Ronald V. DeMars, MD (Retired) · Answer

Plastic surgeons do not do tonsillectomy and that procedure would not be done at the time of breast surgery for fear of raising the risk of infection.

Richard P. Rand, MD, FACS (retired) · Answer

ENT surgeons do the tonsils, not plastic surgeons. Also, doing a contaminated surgery within your mouth at the same time as placing breast implants increases the risk of infection or capsular contracture. Not a good idea.

Can I add a tonsillectomy?

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