Ask a Surgeon - Breast Reduction - I’m planning on having breast reduction surgery in the near future. I was...

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I’m planning on having breast reduction surgery in the near future. I was recently...

Q:

I’m planning on having breast reduction surgery in the near future. I was recently diagnosed with high blood pressure and have started taking blood pressure pills to bring it down. Will this problem prevent me from having the breast reduction procedure performed?

A:

Having high blood pressure will not prevent your having the breast reduction surgery, but it certainly does complicate it. First, you should not even think about having the surgery until your blood pressure is well controlled in a normal range. Once it is controlled, you need to meet the anesthesiologist who will be doing your anesthesia. He or she needs to be aware of the problem and of what medications you are on. This is important since different medications will affect anesthesia differently. The anesthesiologist will also have to watch your blood pressure more closely to make sure it does not rise either during or after anesthesia, as this could cause bleeding and hematoma (blood clot in the breast) which could lead to loss of skin or the nipple. For the same reason, you may want to consider an overnight stay to monitor your blood pressure until your body stabilizes somewhat. Having the doctor who is caring for your blood pressure available that first night is another precaution to improve your chances of having no problems. With these precautions, however, you should be able to have your surgery with only minimal increased risk.