Posted by Dr. Michael Gellis on November 12th, 2012
High blood pressure doesn’t automatically make you a non candidate for our liposuction procedure. Our physicians and medical staff at Sono Bello have an established treatment plan to take care of patients who may have high blood pressure develop during the liposuction procedure. We are prepared for that unlikely event. That said it is not our intention to have the Sono Bello surgeons be the only physicians treating our patients who have a history of hypertension. That role is reserved for your primary care physician (PCP) or internal medicine doctor. If you are being treated for high blood pressure and we determine that your blood pressure taken at the initial visit or at the pre surgical appointment by our medical staff is not in control, then we will refer you back to your PCP before the procedure to get you blood pressure under better control.
It is not uncommon for patients to have anxiety prior to a procedure which can raise the blood pressure. Simply meeting the doctor (‘white coat syndrome’) is a well-known cause for a sudden and, at times, significant elevation in blood pressure. Strangely, some people have similar reactions in other situations unrelated to medicine at all, for example, walking into a crowded shopping mall, being in a small closed room, or having to give a speech in front of a group. For the patient’s benefit at Sono Bello we attempt to reduce the patient’s anxiety at surgery by giving oral (by mouth) medication that is known to relax you; either valium, Ativan, or Xanax. These medications can make you feel mellow and may lower your blood pressure. We also have oral medication available that reacts directly on tense blood vessels which relax them as well. The combination of these common medications often lowers the blood pressure to allow the liposuction to proceed. If this is not enough we do have specific blood pressure medication available if it is determined that the additional medication is appropriate and safe for your particular situation.
Of course, during the procedure we monitor your blood pressure, pulse, and oxygen levels to maintain the highest level of standards that are required by the AAAHC (Accreditation Association for Ambulatory Health Care), the highly recognized national organization that certifies all of our Sono Bello facilities.
Blood pressure management is a team effort that includes your PCP, us, and, perhaps more importantly, you. Your blood pressure should not only be at an acceptable range during surgery but also during your entire lifetime in order to prevent heart disease, strokes, and other medical conditions associated with hypertension. It is our goal to not only have you succeed with your surgery but also to live a long and healthy life.