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I am 67 years old and had a triple bypass and a mitral valve repair for my...

Q:

I am 67 years old and had a triple bypass and a mitral valve repair for my heart.  I have degenerative arthritis and severe back pain from my oversized breasts. I am a size 48 DD - normal size for me was 36 C.  With my medical history and problems, am I eligible for breast reduction surgery?  Would there be a safety factor involved?

A:

You are a high risk patient for any surgery. There are many risk factors.

You need to see your cardiologist and have a full evaluation and possibly a stress echocardiogram.  Ask the cardiologist if your heart can tolerate the procedure.  If the answer is yes, then you need to find a Board Certified Plastic Surgeon who will operate on high risk patients.  You need to understand that you are at high risk for heart attack, and possibly death. Your family also needs to be involved in the decision making process.  Explore with the plastic surgeon the options of standard reduction mammoplasty, and liposuction of the breasts for reduction as a possible alternative which would be done under local with sedation and not worry about the cosmetic results.

A:

 Based on the information you have provided you may be a candidate for a breast reduction.  With proper medical management your surgical risk may be very acceptable.

A:

Yes, you are a good candidate for breast reduction and it may help your medical problems, especially your back.  You would need to get clearance from your doctors and we try and get pre-authorization to cover your surgery.  Watch my videos and for more information go to my website at www.surgery-plastic.com.

Dr. Domanskis

Edward J. Domanskis, M.D., FACS - View Other Answers by this Doctor
Newport Beach, CA

A:

You are at increased risk for complications.  There are increased risks for anesthesia because of your cardiac history, and increased risks of healing complications due to anti-coagulation for your prosthetic valve.  That said, many patients in your situation safely undergo surgery, and the particular procedure you are considering often dramatically improves the patient's quality of life.  You should discuss your risks with your cardiologist, and, if he/she feels you are a reasonable candidate for a procedure that requires 3-4 hours of general anesthesia, your cardiologist and plastic surgeon can work together to try to keep your risk to minimum.

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