Medical testing before Breast Implant Surgery

Do I need any Medical testing before Breast Implant Surgery?

Medical testing before Breast Implant Surgery

  • If you are 50 or over, get a general medical check up. Being the healthiest you can be is very important to a good outcome in breast implant surgery. There is no reason to have any elective surgery before general health issues have been taken care of. These include lab testing as directed by your primary care doctor. Possibly an EKG, blood tests, and blood pressure measurement. You do not necessarily need to inform your doctor what procedure you are considering (though if you do not trust your doctor enough to be completely honest with them, you should consider getting a new doctor). You do need to inform them however, that you are considering an elective surgical procedure such as breast implant surgery. I am perfectly happy to speak directly with your internal medicine specialist if there are any issue which need to be communicated to improve the quality of your care. In general, I consider you choice of procedures to be private and at your discretion to share with other people.
  • If you are 40 or over, get a mammogram. Age 40 is the recommended age to get a screening mammogram. If you have other risks for breast health, your primary care doctor may recommend screening to start at an earlier age. Your mammogram should be recent prior to breast implant surgery. If it is not, I would like you to have an updated exam. There are various reasons for this, but first is you need to wait a full year after surgery before your next mammogram. I do this because your mammogram will not be reliable due to the appearance of scar tissue from surgery for at least a year. This is a very important issue for us and we frequently help patients arrange mammograms while they are in our office.
  • All women of child bearing years should have a pregnancy test on the day of Breast Implant Surgery. Elective surgery is not considered to be a good risk for pregnant women. Though we do not know of any certain risks of anesthesia for the baby, it is obviously not worth taking the risk. Your breast implant surgery will be canceled in the event your pregnancy test is positive. It is interesting to note that we have heard reports of false positive pregnancy tests in woman taking the hcg diet.
  • If you have had problems with bleeding or blood clots, be sure to inform you surgeon in advance. It is not uncommon to have inherited medial conditions which can lead to either increased bleeding or clotting. If you think you may be one of these people, you should check separately with your hematologist in addition to discussing this with your surgeon.
  • Check your medications for risks of bleeding and stop them at least 5 days prior to surgery. Please check all medications and supplements you are taking to be sure to identify any that could increase your chances for bleeding in surgery. Your pharmacist can be a good resource for you. The most common medications and supplements we see with a blood-thinning effect are fish oil, aspirin, and ibuprofen. We recommend stopping all herbal supplements as their ingredients and effects are not known.

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