Is it safe to get a breast reduction with comorbidities?

Hi,

Welcome to icliniq.com.

I read your query and I understand your concern.

Based on your medical history and current medications, breast reduction surgery may still be possible, but it requires careful evaluation and planning due to the following key factors:

Risks:

Warfarin increases your risk of bleeding during and after surgery. You will likely need to stop Warfarin before surgery and be bridged with a shorter-acting anticoagulant (like Heparin), under close hematology guidance.

History of pulmonary embolism:

Indicates a higher risk of blood clots. Surgery further increases clot risk. You will need a custom VTE (venous thromboembolism) prophylaxis plan: mechanical devices, early mobilization, and careful anticoagulation management. Autoimmune disorders like lupus can affect wound healing, increase the risk of infection, and affect your response to stress or anesthesia. If lupus affects your kidneys, heart, or lungs, anesthesia carries a greater risk. Disease activity must be well-controlled before surgery. Past kidney and liver issues. These organs help metabolize drugs and heal tissue. Poor function can increase risk from anesthesia and complicate post-op recovery. Blood tests (liver function, kidney function, coagulation profile) are essential pre-op.

Breast reduction can be safe if your lupus is stable. Your liver and kidney functions are currently normal or optimized. Your coagulation status is tightly controlled by a hematologist. You are under the care of a surgical team experienced with high-risk patients and a multidisciplinary team (rheumatologist, hematologist, and anesthesiologist).

Consult a plastic surgeon with hospital access and experience in high-risk patients. Have a pre-op evaluation, coagulation profile, renal and liver function tests, and lupus disease activity assessment. Involve your specialists: Rheumatologist for lupus management. Hematologist for anticoagulation bridging plan. Discuss hospital-based surgery, not a clinic, for access to ICU (intensive care unit) or emergency care if needed.

While your history adds complexity, breast reduction is not automatically ruled out. Many women in similar situations safely undergo this surgery with the right precautions. Given your back, neck, and shoulder pain, it could significantly improve your quality of life, but only with proper medical clearance and planning.

I hope this information is helpful to you.

Thanks.