I'm specifically concerned about anesthesia issues, not the stitches that could be obviously be damaged by repeated vomitting.
Does Bulimia Make It Any Riskier to Have Plastic Surgery?
Doctor Answers (5)
Bulimia and Plastic Surgery
With bulimia you have a very high chance of electrolyte disturbances and also malnutrition. Both of these would be contraindications for plastic surgery as it would increase the risk of anesthesia and negatively affect wound healing, respectively. Also with bulimia, there is likely a component of body dysmorphic disorder which would make it difficult for any surgical procedure to satisfy your expectations from plastic surgery. My advice would be to seek treatment for your bulimia as your primary focus. Good luck.
Bulemia and plastic surgery
If you are bulemic you need to have this evaluated first. You did not mention the type of surgery that you wanted. But bulemia is a condition that needs to be treated before doing anything further.
Bulimia and cosmetic surgery,
Are you talking about bulimia prior, during or after the plastic surgery procedure. Generally, the answer is yes, it can effect it all in many different ways such as malnutrition resulting in poor wound healing or higher risk of wound breakdown.Fluctuations in weight are not ideal in the peri-operative period. Vomiting could lead to a higher risk of hematima.
Bulimia, body dysmorphic disorder and plastic surgery
That depends it can make it risky enough to be life threatening especially if the operating surgeon is unaware that you have it. Self induced vomiting after surgery can tear suture lines, rupture your esophagus (Boerhaave's), cause fluid and electrolyte imbalances with dire consequences, ruin your teeth etc. I would hope that you mean you had bulimia in the past and are worried about residual effects on upcoming surgery. If that is not the case you should have medical clearance by an internist and psychological clearance by a psychiatrist or psychologist before undergoing even minor cosmetic plastic surgery. Even if the planned surgery is unrelated to weight such as a rhinoplasty the specter of body dysmorphic disorder has to be addressed. No safe surgeon should operate on a patient with any type of body dysmorphic disorder without prior consultation with and input of appropriate non-surgical specialists even if the planned elective surgery is not considered cosmetic.
Bulimia and Cosmetic Surgery
Bulimia is a serious disease and is a manifestation of a body dysmorphic disorder. This is generally considered a contraindication to cosmetic surgery in the face or the body. A bulimic patient would likely have problems with the procedure, the anesthesia, the healing process, and the psychological aspects of healing.
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