American Society of Plastic Surgeons
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jenniferp
9 months ago
Answered

Mechanical Valve in my Heart

Is it possible to get breast augmentation if I have a mechanical valve in my heart. The heart surgery left behind horrible scares/bumps/large space between my breast. I look disfigured and would like to get it fixed. Would I be considered for surgery? Would my health insurance cover the cost?

Procedure: Breast Augmentation
Location: gray, ME

Replies 4

Gary Culbertson
ASPS Surgeon
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Normally, patients that have had mechanical heart valves placed are on permanent anticoagulation therapy. If you are on a permanent blood thinner then, a breast augmentation surgery would not be a good idea.

Best,

Gary R Culbertson, MD, FACS

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Rahul Vemula
ASPS Surgeon
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If you have a mechanical valve you are most likely on a blood thinner such as warfarin. For any surgical procedure that must be stopped several days before surgery, bridged with another medication such as lovenox. Then this is stopped 6 hours prior to surgery. The blood thinners must resume at some point after surgery. The longer you are off blood thinners increases the risk of a blood clot forming around the mechanical valves. This can then break off and go the brain and cause a stroke which can leave you with paralysis or be fatal.

Going back on blood thinners too soon can increase the chance of bleeding and surgical complications.

There is less of a risk of blood clots if your mechanical valve is the aortic valve vs the mitral valve since the aortic valve has a higher flow rate and less chance of forming clots.

If you look disfigured, a surgery may be covered under health insurance and considered reconstructive. I would suggest meeting with a board certified plastic surgeon.

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Rahul Vemula
ASPS Surgeon
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If you have a mechanical valve you are most likely on a blood thinner such as warfarin. For any surgical procedure that must be stopped several days before surgery, bridged with another medication such as lovenox. Then this is stopped 6 hours prior to surgery. The blood thinners must resume at some point after surgery. The longer you are off blood thinners increases the risk of a blood clot forming around the mechanical valves. This can then break off and go the brain and cause a stroke which can leave you with paralysis or be fatal.

Going back on blood thinners too soon can increase the chance of bleeding and surgical complications.

There is less of a risk of blood clots if your mechanical valve is the aortic valve vs the mitral valve since the aortic valve has a higher flow rate and less chance of forming clots.

If you look disfigured, a surgery may be covered under health insurance and considered reconstructive. I would suggest meeting with a board certified plastic surgeon.

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Alfred Antonetti
ASPS Surgeon

These are questions that need answers from your ABPS certified or eligible plastic surgeon and cardiologist.

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