Should I Worry About Benign PVCs and Surgery?

I am getting a mommy makeover on July 9, tummy tuck and breast augmentation. I was diagnosed about 4 1/2 years ago (after my first c section is when they started), with benign PVCs. I have had a handful of echo cardiograms and EKGs and also halter monitors. My most recent echo was 9 mths ago and it was perfect and I wore an event monitor for a month, and that came back clear too. Should I be worried about medical clearance? Should I be worried about going under with benign PVCs? Thanks!

Doctor Answers 11

Benign PVCs

With the Holter & Echo, you have already undergone the cardiac workup to make the diagnosis that your PVCs are “Benign”.  The appropriate definition of benign is: Having little or no detrimental effect; harmless.  You can proceed with surgery and not worry about it.  To make sure nothing is overlooked, you should get a copy of the recent Holter & Echo reports, as well as a cardiac clearance letter, for your anesthesiologist to review.


Dallas Plastic Surgeon
4.9 out of 5 stars 67 reviews

PVC history

It sounds like you've already undergone a cardiology workup for your benign PVCs.  My anesthesiologist would likely recommend a cardiac clearance letter (summarizing the workup) prior to surgery.  Make sure you have your procedure in a fully accredited surgery center or hospital.  You want to be monitored during surgery and in the recovery room.  Best wishes!
Dr. Basu

Houston, TX

C. Bob Basu, MD, FACS
Houston Plastic Surgeon
4.7 out of 5 stars 209 reviews

PVC's and cosmetic surgery

As long as you're cleared by your cardiologist and medical doctor, you should be okay proceeding with surgery.

Jeffrey E. Schreiber, MD, FACS
Baltimore Plastic Surgeon
5.0 out of 5 stars 202 reviews

Even benign PVCs before mommy makeover should be signed off by cardiologist.

Many patients have occasional PVCs and can safely undergo surgery. I would make certain your cardiologist is aware of your plans and is okay with them.

Vincent N. Zubowicz, MD
Atlanta Plastic Surgeon
4.7 out of 5 stars 35 reviews

Mommy Makeover and Cardiac Clearance

Seeing that you have had such complete evaluation prior to this time I don't think you have any worries.  I always ask patients to obtain a short note from their cardiologist to state they are ok for the general anesthesia.  A copy of the note is sent to the board certified anesthesiologist prior to the day of surgery so there are no problems the morning of surgery and any tests that would be needed.

Thomas P. McHugh, MD
Houston Plastic Surgeon
3.6 out of 5 stars 22 reviews

Benign PVCs and Mommy Make-Over

Thank you for asking about your Mommy Make-over with benign PVCs.

  • Take a copy of your heart evaluation to your mommy-make over consultation.
  • Your plastic surgeon may want your cardiologist to clear you for surgery in writing before your mommy make-over
  • Your mommy make-over should be in an accredited operating room with an anesthesiologist available. Hope this helps. Best wishes.

Elizabeth Morgan, MD, PhD
Atlanta Plastic Surgeon
4.6 out of 5 stars 43 reviews

Cardiac Clearance Prior to Surgery

Your surgeon, along with anesthesia will want a cardiac clearance letter from your cardiologist prior to surgery.  It sounds like you have had a through workup, which is good.  If given the OK,  you should be fine for surgery.

Robert E. Zaworski, MD
Atlanta Plastic Surgeon
4.9 out of 5 stars 60 reviews

Benign PVCs

It appears you have done all the proper preoperative testing for this condition. Medical clearance ultimately will depend on the opinion of your plastic surgeon once he or she has all the proper information. However, a letter from your cardiologist stating there are no contraindications to undergoing this procedure should give your plastic surgeon and the anesthesiologist confidence that your surgery can be performed safely.I hope this helps.

Gustavo E. Galante, MD
Schererville Plastic Surgeon
5.0 out of 5 stars 54 reviews

Cardiac clearance for elective cosmetic surgery

It certainly sounds that you had a very thorough work up.  If you have had a recent examination by your cardiologist then it would be good to bring this with you at the time of your pre-operative examination.  If you have been given the okay then you will be fine for your surgery.  

Jeffrey Zwiren, MD
Atlanta Plastic Surgeon
4.5 out of 5 stars 19 reviews

Mommy Makeover Surgery and PVCs?

Your plastic surgeon will be your best resource when it comes to discussing the need for  medical “clearance”. Remember that he/she is ultimately responsible for your care.

 Generally speaking, it sounds like you have had a pretty thorough workup;  it is probable that no further workup will be necessary. Again, best to check with your own plastic surgeon for relevant/meaningful answers.

 Best wishes with your upcoming mommy makeover procedures.

Tom J. Pousti, MD, FACS
San Diego Plastic Surgeon
5.0 out of 5 stars 1,488 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.