American Society of Plastic Surgeons
For Medical Professionals
one year ago

pulmonary fistula?

Hi, I have a genetic condition called Hereditary Hemorrhagic Telangiectasia and as a result I have a pulmonary fistula that was diagnosed with bubble echocardiography. It's under 3 mm so I'm told there's no need to treat it. How does this change my risks related to breast augmentation or other cosmetic surgery? How does it change my risks related to dermal fillers?

Procedure: Breast Augmentation
Location: Denver, CO

Replies 3

Rahul Vemula
ASPS Surgeon
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Thanks for your question. You would need cardiac and pulmonary risk stratification to determine you risk of complications from anesthesia. Your cardiologist and pulmonologist should be able to provide this for you. Once that is done, your plastic surgeon will determine if you are an appropriate candidate to undergo the procedure. Please see a board certified plastic surgeon for your consult.

Alfred Antonetti
ASPS Surgeon

These questions need to be answered by your cardiologist and pulmonologist. You need clearance by these doctors and then, with that information the plastic surgeon will determine what kind of a risk you really are and will then give you advice.

Kenneth Francis
ASPS Surgeon

Dear Inquisitive,

As others have stated, your risks for surgery, ANY surgery, cosmetic or not, should be discussed with your cardiologist, pulmonologist. This is knowledge that you need to have going forward in life. You can then make decisions on whether elective cosmetic surgery is too risky for you. Good luck!


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