My mother is 45 years old and has been having high blood pressure for five years. She is determined to undergo laser liposuction. How much weight loss can she expect after the procedure, and what are the risks involved?
Anticipating a surgery is an anxietyprovoking time. And if you have high blood pressure, you may have additional concerns about how your blood pressure will react under general anaesthesia. That said, high blood pressure is usually not a reason to postpone surgery unless a person is undergoing an elective major surgery and the blood pressure is poorly controlled, which means the systolic blood pressure is 180mmHg or higher or the diastolic blood pressure is 110mmHg or higher.
In this case, deferring surgery may be considered. In addition to following their advice on the timing of your surgery, it’s essential to follow your healthcare team’s instructions on which medications to continue and which to stop prior to surgery.
For people with chronic high blood pressure, in most instances continuing your high blood pressure medications (called anti-hypertensives) is generally safe. On the contrary, some high blood pressure medications are held for a certain period of time prior to surgery. In the end, be sure to clarify with your doctor precisely which medications you should and should not take before surgery.
During surgery, the anaesthesiologist will keep a close and constant eye on your blood pressure, as well as other vital signs like your heart rate and rate of breathing. To treat high blood pressure during surgery, your anaesthesiologist will administer intravenous (through your vein) anti-hypertensives. As a person recovers from anaesthesia, their blood pressure and heart rate may slowly and naturally increase. If a person experiences markedly high blood pressures after surgery (when the systolic pressure is 180mmHg or higher), he will likely be given intravenous medications, instead of oral medications, to lower the pressure.
Of course, if the blood pressure is high due to other causes, reversal of those issues should bring the pressure down. On the flip side, some people experience a drop in blood pressure after surgery. This may be due to medication that was given by the anaesthesiologist (for example, a pain medicine) or simply a side effect of the procedure.
It’s important to note that if you are on chronic blood pressure medications, you should resume them after surgery. Clarify which medications to take with your surgical team. Results from laser liposuction or other surgeries may vary based on how large the area is. As a plastic surgeon I will always explain the outcome of the procedure depending on the assessment done during the consultation.
Dr Chadi Jaber is a plastic surgeon at Bloom Aesthetic and Laser Clinic, Dubai. Got a problem? Our fantastic panel of renowned experts is available to answer all your questions related to fashion, well-being, nutrition, finance and hypnotherapy. Email your queries to firstname.lastname@example.org.