Can I have upper and lower eyelid surgery if I am on Lisinopril and carvedilol?

Question

I had a stent put in 1 year ago but am off the plavix. Now on the aspirin , lisinopril and carvedilol. Can I have upper and lower eyelid surgery?

Earl Stephenson, Jr., MD, DDS, MBA · Answer

You can have eyelid surgery but you must stop your aspirin 10 days prior to your operation. It would be wise for your plastic surgeon to discuss your case with your primary care doc of cardiologist. Earl Stephenson Jr MD DDS FACS

Boris M. Ackerman, MD · Answer

Eyelid surgery in patients with cardiac 
history
 
In my practice we routinely perform cosmetic 
surgery in properly selected patients with cardiac history and hypertension.  We 
require abstaining from aspirin only for 5 days before surgery. It is important 
to coordinate your care with your cardiologist to make sure your health is 
optimized.

Jeffrey Joseph, MD, FACS · Answer

One can have eyelid surgery if your blood pressure is under control with medication, and your cardiologist will allow you to stop your aspirin 2 weeks before and after surgery. I suggest you discuss this with cardiologist prior to seeking consultation with your plastic surgeon.

Stephen Prendiville, MD · Answer

Many asymptomatic  patients with stable cardiac issues can have elective aesthetic surgery, but only under the following conditions: 1) cardiac clearance from your Cardiologist, 2) Hypertension that is under control, 3) ability to remain off of anicoagulant medication and/or anti-platelet medication. The critical factor will be in the hands of your Cardiologist.  Good Luck!

Carey Nease, MD · Answer

Certainly you may be able to have eyelid surgery, but you will need medical clearance from your cardiologist.  You will also need to be off of Aspirin for about a week.  Sometimes the procedure can be done with local anesthesia also, which would make the procedure more safe for you.

Steven Wallach, MD · Answer

Unfortunately blood thinners and cosmetic surgery do not mix.  If your medical doctor allows you to be off the blood thinners before and just after surgery, then perhaps this can be done.

Sean Freeman, MD · Answer

seaport, this is not a good question for this type of forum. The answer can only come from your cardiologist in consultation with your surgeon. I can tell you that I would be reticent to perform lower lid blepharoplasty on someone taking anticoagulants. Talk with your doctor to get a definitive answer. Good luck!

Robert T. Buchanan, MD (retired) · Answer

People on antihypertensives can safely have blepharoplasty. The main problem would be if your blood pressure goes up postoperatively. Whether you can have the procedure while on these medications depends on whether your blood pressure is controlled and whether your physician believes it is safe for you or not. Seek a consultation with a Plastic Surgeon and make sure whomever does your anesthesia is a board certified anesthesiologist.

Michael Elam, MD (retired) · Answer

Dear Seaport, Many patients have cosmetic surgery with similar health situations. My anesthesiologist works directly with the patients cardiologist to clear the patient for surgery and discuss any risks if the patient is removed from aspirin for five days before surgery. The other medications you are on would be continued to make sure that your blood pressure is regulated and under control. As long as you have clearance from anesthesia and cardiology you should set for surgery. Best regards, Michael V. Elam, M.D.

Can I have upper and lower eyelid surgery if I am on Lisinopril and carvedilol?

Answers (9)

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