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Kanye West's mom had serious health problems

The late Donda West's case provides a warning for unhealthy people seeking cosmetic surgery.

January 13, 2008 at 12:37AM

Medical experts say cosmetic surgery should be performed only on relatively healthy people.

But Donda West, the 58-year-old mother of rapper Kanye West, had a number of serious health problems, including high blood pressure, high blood sugar and cardiac artery blockage, according to an autopsy report released this week. Still, a plastic surgeon approved her for extensive cosmetic surgery last year.

She died Nov. 10, a day after undergoing the 5 ½-hour operation, and the circumstances of West's death underscore a point that has become a worry of experts on plastic surgery.

As the number of cosmetic surgeries increases rapidly, experts said, they are struggling to educate patients and doctors that the operations carry the same significant risks as any other kind of surgery and should require thorough pre-operative screening.

"I think American consumers have been treating plastic surgery like a commodity," said Dr. Rod Rohrich, chairman of plastic surgery at the University of Texas Southwestern Medical Center in Dallas. "It's not like going to find a pair of shoes. You can take the shoes back. You can't bring your life back."

Rohrich recalled one patient who was insistent about getting a face-lift even though she also needed a heart transplant.

"Bottom line, cosmetic surgery is only for patients that are healthy," he said. "If they're not healthy, it's really not usually a good thing to do."

But more prospective patients are increasingly demanding such cosmetic procedures even if they are not fit for them, he said.

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"It's the aging of the baby boomers ... and it's the popularity of plastic surgery because of the 'Extreme Makeover' phenomenon," Rohrich said, referring to the ABC TV show about cosmetic surgery. "That's why you have to be even more careful than you were years ago."

Nearly 11 million cosmetic procedures were performed in 2006, up 48 percent since 2000, according to the American Society of Plastic Surgeons.

The most popular procedure in 2006 was Botox injections. The most popular cosmetic surgical procedures were breast augmentation, followed by nose reshaping and liposuction.

A study published in the July issue of the journal Plastic and Reconstructive Surgery said reality TV shows directly influence first-time patients who decide to have cosmetic surgery. The study surveyed 42 first-time patients at the Yale School of Medicine.

Most of the TV shows have happy endings with patients receiving successful surgery.

The reality is somewhat different -- in some cases with multiple operations, and long and sometimes painful recovery periods not depicted on TV.

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A 2004 study published in Plastic and Reconstructive Surgery of procedures performed in office-based surgical facilities found that serious complications occurred in 1 out of 298 cases, and deaths occurred in 1 out of 51,459 cases.

"A surgical procedure is really an assault on the body," an assault better handled by healthier people, Rohrich said.

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