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Tumescent Lipo W/ Brazilian Butt Lift and High Blood Pressure, Does this Increase my Risk?

Hello Everyone, I have what is called pre-hypertension my Blood pressure is usually about 135/82. I am 26 yrs old and on 5mg of Norvasc for the blood pressure to keep it around the normal 120/80. I am scheduled to have my Tumescent lipo(full abdominal & my entire flank area)with fat grafting to my buttock. I just had a physical with my primary dr. Do you think I'm at any increased risk. Oh and I will not be under general anestesia just sedated with local anestetics. 1st surgery little nervous

Doctor Answers 4

Medical Conditions Increase Risks and Highlight Need for Smart Decision Making

February 26th, 2012
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Hi there-

Your situation is an excellent example of why it is so very important to make good decisions in pursuing any aesthetic plastic surgery.

If you are healthy and everything goes smoothly, many surgeons, in most situations could complete your procedure.

It is when you have a medical problem or things do not go exactly as planned that you will be glad you chose a Board Certified Plastic Surgeon who only does surgery with a Board Certified Anesthesiologist in the room. 

As long as your medical doctor believes your circumstances are appropriate for the procedure, and you have made the best, most appropriate choices as outlined above, you should be able to proceed with an acceptably low risk.

Web reference: http://www.DrArmandoSoto.com

Armando Soto, MD, FACS
February 26th, 2012

Medical Conditions Increase Risks and Highlight Need for Smart Decision Making

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

Hi there-

Your situation is an excellent example of why it is so very important to make good decisions in pursuing any aesthetic plastic surgery.

If you are healthy and everything goes smoothly, many surgeons, in most situations could complete your procedure.

It is when you have a medical problem or things do not go exactly as planned that you will be glad you chose a Board Certified Plastic Surgeon who only does surgery with a Board Certified Anesthesiologist in the room. 

As long as your medical doctor believes your circumstances are appropriate for the procedure, and you have made the best, most appropriate choices as outlined above, you should be able to proceed with an acceptably low risk.

Learn more: http://www.DrArmandoSoto.com

Armando Soto, MD, FACS

Brazilian Butt Lift

February 23rd, 2012
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Having liposuction, abdomen, flanks and fat transfer to the buttock is a major surgery. Having high blood pressure, though controled with 5 mg of norvasc, you are still at slightly higher risk.

I would want an anesthesiologist to monitor you and the blood pressure during surgery. Complete clearance by your family physician, including a history and physical examination, full blood work and EKG (because of high blood pressure). reconsider the local anesthesia, it is a lot of liposuction, fluid shifts in the presence of high blood pressure. The doctor must be a Board Certified Plastic surgeon, the facility should be fully accredited and equiped for any emergency.

Samir Shureih, MD

Samir Shureih, MD
Baltimore Plastic Surgeon
4.2 out of 5 stars 7 reviews

February 23rd, 2012

Brazilian Butt Lift

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

Having liposuction, abdomen, flanks and fat transfer to the buttock is a major surgery. Having high blood pressure, though controled with 5 mg of norvasc, you are still at slightly higher risk.

I would want an anesthesiologist to monitor you and the blood pressure during surgery. Complete clearance by your family physician, including a history and physical examination, full blood work and EKG (because of high blood pressure). reconsider the local anesthesia, it is a lot of liposuction, fluid shifts in the presence of high blood pressure. The doctor must be a Board Certified Plastic surgeon, the facility should be fully accredited and equiped for any emergency.

Samir Shureih, MD
Baltimore Plastic Surgeon

Tumescent lipo w/ Brazilian Butt Lift and high blood pressure - does this increase my risk?

August 8th, 2014
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Hello! Thank you for your question! There are a few medical comorbidities that contribute to a higher risk during any surgical procedure including infections, wound complications, delayed wound healing, bleeding, anesthetic risks, etc. Hypertension is one that is known to have an increased risk during a procedure. There are a number of both systemic and local host factors that can contribute to high blood pressure. Hypertension itself is not a true contraindication to having any surgical procedure, but it should always be controlled. Risks that coincide with high blood pressure, such as coronary artery disease, pulmonary issues, varicosities, etc. can certainly be worrisome as the risk for other issues including MI, stroke, etc. can be severe. Complications such as bleeding and postoperative hematomas may be increased and hemostasis obtained well.

That being said, well-controlled high blood pressure should equate a minimal increased risk for the above and surgical procedures still safe and a reasonable decision. You should ensure adequate blood pressure control always, but also obtain medical clearance from your primary care physician that you are at an acceptable risk for undergoing a surgical procedure. For elective or aesthetic procedures, your surgeon may want to get you to a baseline level prior to consideration for a procedure. Discuss all of your medical comorbidities and medication with your surgeon prior and discuss these risks. Also, discuss this with your anesthesiologist as proper monitoring and medications will be watched closely. This procedure should still be very safe for you and hope for an uncomplicated course with an excellent result! Hope that this helps! Best wishes!
Lewis Albert Andres, MD
August 8th, 2014

Tumescent lipo w/ Brazilian Butt Lift and high blood pressure - does this increase my risk?

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}
Hello! Thank you for your question! There are a few medical comorbidities that contribute to a higher risk during any surgical procedure including infections, wound complications, delayed wound healing, bleeding, anesthetic risks, etc. Hypertension is one that is known to have an increased risk during a procedure. There are a number of both systemic and local host factors that can contribute to high blood pressure. Hypertension itself is not a true contraindication to having any surgical procedure, but it should always be controlled. Risks that coincide with high blood pressure, such as coronary artery disease, pulmonary issues, varicosities, etc. can certainly be worrisome as the risk for other issues including MI, stroke, etc. can be severe. Complications such as bleeding and postoperative hematomas may be increased and hemostasis obtained well.

That being said, well-controlled high blood pressure should equate a minimal increased risk for the above and surgical procedures still safe and a reasonable decision. You should ensure adequate blood pressure control always, but also obtain medical clearance from your primary care physician that you are at an acceptable risk for undergoing a surgical procedure. For elective or aesthetic procedures, your surgeon may want to get you to a baseline level prior to consideration for a procedure. Discuss all of your medical comorbidities and medication with your surgeon prior and discuss these risks. Also, discuss this with your anesthesiologist as proper monitoring and medications will be watched closely. This procedure should still be very safe for you and hope for an uncomplicated course with an excellent result! Hope that this helps! Best wishes!
Lewis Albert Andres, MD

Brazilian Butt Lift with hypertension

February 23rd, 2012
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Hypertension puts you at an increased risk of dying without any surgery at all. It needs to be under control both pre-op, during surgery and post-op. Your surgeon has to be on top of it during surgery and for the week post-op. You should be taking your own BP twice a day at home and recording the numbers for him to see.Control is easy if you will just take your own BP and notify your doctor about any 3 readings in a row over 150 systolic or 90- diastolic. Your numbers do not prohibit safe surgery. I believe IV sedation is safer than general anesthesia for this procedure. The BP will probably go up 3 or 4 hours after surgery. That's when it has to be monitored and treated promptly.  Dr Foster 

Lawrence Foster, MD (retired)

Lawrence Foster, MD (retired)
Sacramento Plastic Surgeon
3.3 out of 5 stars 15 reviews

February 23rd, 2012

Brazilian Butt Lift with hypertension

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

Hypertension puts you at an increased risk of dying without any surgery at all. It needs to be under control both pre-op, during surgery and post-op. Your surgeon has to be on top of it during surgery and for the week post-op. You should be taking your own BP twice a day at home and recording the numbers for him to see.Control is easy if you will just take your own BP and notify your doctor about any 3 readings in a row over 150 systolic or 90- diastolic. Your numbers do not prohibit safe surgery. I believe IV sedation is safer than general anesthesia for this procedure. The BP will probably go up 3 or 4 hours after surgery. That's when it has to be monitored and treated promptly.  Dr Foster 

Lawrence Foster, MD (retired)
Sacramento Plastic Surgeon

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.