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Risks of Plastic Surgery on Patient with Lupus and Fibromyalgia

What are the risks of having plastic surgery of the face while also having Lupus and Fibromyalgia? Also, the patient did not tell her doctor that she has Lupus because he might not do the surgery.

Doctor Answers (8)

Failure to discos medical conditions

+2
What you describe is every plastic surgeon's nightmare: that a patient who desires a procedure and has been rejected after disclosing a medical condition will go to another plastic surgeon and intentionally fail to reveal medical conditions that would not be picked up on routine prep testing. I require that my patients complete an extensive medical history form and obtain medical clearance from their personal physicians. I am aware that other surgeons in the area, particularly those who are not board certified in plastic surgery, do not have similar requirements and underplay risks of surgery for patients who have chronic conditions but, as doctors, we must take risks seriously and, in the words of the Hippocratic oath, first do no harm.


New York Plastic Surgeon
5.0 out of 5 stars 11 reviews

Plastic Surgery Risks and Connective Tissue Disease

+1

First of all a facelift, all Plastic Surgery for that matter, involves risk. Informed consent for surgical  procedures means that a through medical history and physical exam takes place so that the plastic surgeon can inform the patients on the relative risks of what can go wrong and whether is is worth taking this risk. The rheumatologist, internist,  primary care doctor in general usually gives a surgical clearance and makes sure that the disease process is well under control and may want to adjust medicines before hand or during the peri-operative time period and also be available to help manage complications.

Once that is done - and in my experience plastic surgery of the face can be done by minimizing these risks. Seek the help of a board certified plastic surgeon.

Larry S. Nichter, MD, MS, FACS
Orange County Plastic Surgeon
5.0 out of 5 stars 45 reviews

Autoimmune disorders and facelifts

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Patients should always work with their surgeons so that they can work together for the best result.  Many times, it may require coordination between the surgeon and the physician taking care of the autoimmune disorder to help optimize a patient for surgery.  This may include cessation of any medication which impairs wound healing.

Anil R. Shah, MD
Chicago Facial Plastic Surgeon
5.0 out of 5 stars 68 reviews

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Medical conditions must be disclosed

+1

It is of utmost importance for potential surgery patients to inform their surgeon of any and all medical conditions.  Otherwise, they placing themselves at risk.  Qualified, Board Certified Plastic Surgeons insist on a complete physical examination including laboratory tests, electrocardiogram, and medical clearance from the patient's personal physician prior to any surgery requiring general anesthesia.   

Malcolm A. Lesavoy, MD
Encino Plastic Surgeon

Facelifts with lupus and fibromyalgia

+1

These conditions may affect adversly the safety of a facelift and the healing and the final potential result. Some of this depends on the medications you are on that may decrease your ability to heal (ie Prednisone), and can affect your body's ability to react to stress. You MUST tell your doctor about all of your conditions and you must listen to them if they tell you it isn't safe to do.

Richard P. Rand, MD, FACS
Seattle Plastic Surgeon
5.0 out of 5 stars 48 reviews

Facelift With lupus and Fibromyalgia

+1

There are different forms of Lupus, but I would be very concerned doing a facelift on a patient with both diseases. The patient should discuss this with her rheumatologist  and surgeon. Complications could be severe and deforming.

Richard W. Fleming, MD
Beverly Hills Facial Plastic Surgeon
5.0 out of 5 stars 14 reviews

Disease processes must be in remission

+1

There are always small risks with healing related to lupus and fibromyalgia, but as long as both of the disease processes are in remission it is acceptable to proceed with the facial cosmetic surgery.

William Portuese, MD
Seattle Facial Plastic Surgeon
5.0 out of 5 stars 56 reviews

Lupus and fibromyalgia may adversly affect plastic surgery outcome-you must tell your doctor.

+1

Systemic Lupus Erythematosis is a very serious disease which affects the blood vessels which are responsible for healing and keeping the skin alive after plastic surgery.

Lupus can cause large areas of skin on the face or tummy to actually die after plastic surgery and result in terrible scars.

Please encourage the patient to discuss this and be honest with the doctor. The result of not telling the doctor could be disasterous.

Brooke R. Seckel, MD, FACS
Boston Plastic Surgeon
4.5 out of 5 stars 29 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.