Can people with heart problems have plastic surgery?Understand-June 19, 2022

With perfection, the achievement of an “ideal figure”, and the quest for a younger look, more and more people are relying on cosmetic surgery. We are one of the countries with the highest number of this type of procedure in the world. The most common are liposuction, abdominal wall plasty, and facial and breast surgery (enhancement or reduction). According to data from the Brazilian Society of Plastic Surgery, there are more than 1.5 million interventions each year.

But how much is it worth? In addition to affecting self-esteem, these procedures can also pose a health risk. Lack of care and exaggeration often trigger serious complications.

For example, you’ve probably already heard about liposuction deaths and serious problems. History of cardiac arrest and side effects to anesthetics. And why do they occur?

Risk cannot be ruled out

First, you need to remember. Like other surgeries, plastic surgery carries risks and possible side effects. Most often it is an aesthetic issue, but it disrupts the functioning of the organism in some way or in many ways, regardless of the discipline in which the intervention takes place.

There is progress, this is a fact, and the procedure is becoming more and more safe, but still we are talking about surgery, so special care and attention is needed.

Major complications

In the case of liposuction, some of the risks include fat embolism (blockage of small blood vessels by lipid droplets), seroma (excessive fluid is retained near the scar and causes inflammation), and bruise. These results are also evident in the other procedures currently offered.

In addition to infections, the list of frequent complications also includes respiratory problems, implant rejection, sensory and skin disorders, tissue necrosis, asymmetry, bleeding, pain, and allergic reactions-infection. Symptoms are unlikely to occur, usually less than 1%, but they are present and cannot be ignored.

Even during the postoperative period of major surgery such as abdominoplasty or mammaplasty, there is a risk of thrombosis, which is usually the formation of blood clots in the veins of the legs, resulting in pulmonary embolism.

This is because when blood clots move to the lungs and block blood circulation, the heart becomes decompensated, blood volume to the body decreases, and even the risk of death can occur.

Here you can list several factors that increase the likelihood of this type of complication: obesity, a previous history of lower limb thrombosis and varicose veins, a serious or uncontrollable chronic condition (hypertension or). (Diabetes, etc.), smoking, over 40 years of age, long-term use of oral contraceptives, drug use, specific medications, many related surgeries, and even the time to perform them — very long surgeries exponentially risk Tends to increase to.

But after all, can patients with heart problems undergo plastic surgery?

The answer is complex and has great responsibility and should not be summarized in a simple “yes” or “no”. In general, the heart is an organ that, if well-assessed preoperatively, is unlikely to be affected by plastic surgery. As we have seen, there are some issues to consider.

The cardiovascular system of people undergoing general anesthesia and surgery is exposed to multiple stresses and complications. In such a scenario, we need the heart as our important pump. Therefore, even if small, you need to be healthy to deal with the possibility of overload.

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Therefore, prior to any kind of intervention, both the doctor and the patient are present conditions that can trigger the appearance of cardiovascular complications such as arrhythmias (abnormal, irregular, very fast or slow). It is essential to have a clear understanding of. ).

Heart problems that add to the metabolic and circulatory stress caused by any surgery can be life-threatening. The effects of drugs or drugs administered as a result of blood loss, release of substances into the circulation, hypothermia, myocardial ischemia, and procedures are possible.

For example, untreated or unstable heart disease under the influence of anesthesia can cause arrhythmias and even heart attacks. Most anesthetics are respiratory and cardiac depressants, which means that they affect the normal heartbeat.

It also applies to healthy people. In patients who already have heart problems, these possible anesthetic effects are much more worrisome because they may not be able to tolerate large fluctuations in frequency and pressure.

Another situation: People with high blood pressure can undergo abdominal wall plasty or other treatment as long as the pressure is controlled. High blood pressure is a chronic disease caused by high levels of blood pressure in the arteries and requires greater effort than usual for the heart to circulate blood through the blood vessels. Therefore, plastic surgery in people whose pressure is not controlled is extremely dangerous.

Before surgery …

You need to be aware of the additional precautions you must take. And patients are not always aware of this when making plastic surgery decisions. Some people find problems only if the surgeon requests a heart assessment prior to the desired procedure.

Today, these interventions provide a high degree of security. Still, again, we’re talking about surgery, so we need to pay attention to pre-surgery, intra-surgery, and post-surgery care. That is, patients need to be evaluated according to the same rigorous criteria used in other surgical procedures.

Therefore, the more complete the check, the better the security. This is where the condition of the heart is known to reduce complications during surgery, such as the presence of high blood pressure, heart failure, arrhythmias or diabetes, dyslipidemia (high cholesterol), obesity, etc.

Unlike other emergency surgery, plastic surgery is usually expected, planned, and even reviewed. It’s worth putting parentheses here. Plastic surgery is also used for important physical corrections, not necessarily for vanity. In such cases, there is often an urgency.

Finally, it should be remembered that during the postoperative period, the body recovers and the immune system is impaired. A small reaction can turn into a large infection. Therefore, you need to be careful until you are fully recovered.

Therefore, the importance of specialists and surgical locations is clear. Care and criteria are required when choosing a clinic and doctor to perform the procedure.

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