Colonoscopy and breast implant

Question

Can I do colonoscopy and than do my breast implant revision with nose job and fat graft a week after? , or better do colonoscopy after surgery and if it’s after when? It’s just a routine check Thanks

Caner Kacmaz, MD · Answer

You will be under very mild sedation with colonoscopy procedure. Having plastic surgery after a week will not be a problem. Best of luck to you.

Edward Daniele, MD · Answer

You should be okay to have the colonoscopy first. If you have your breast surgery and nose surgery first, during the colonoscopy they could move you and reposition you in positions that would put too much pressure on the implants or face. Discuss with your surgeon regarding the timing and anesthesia. For a colonoscopy they should only use MAC (IV sedation), so you should be okay to undergo general anesthesia that soon after.

Ximena Pinell, MD · Answer

Get your colonoscopy first, and then tackle the breast implant revision. The colonoscopy is an important screening, so in my view takes precedence. Also, there can be transient translocation of bacteria into the bloodstream if anything is biopsied, and you would not want that to reach your implant!

Azita Madjidi, MD, MS, FACS · Answer

It's better not to have surgeries or sedations back to back. Also having breast implants and a nose job during the same surgery is not recommended because of the risk of infection. You will have bacteria in your blood due to nasal manipulation and an implant is a  foreign body and should be done in the most sterile condition.

Jeffrey M. Darrow, MD · Answer

A colonoscopy is a procedure which is meant to look into possible true health concerns and I always advise my patients to prioritize these types of procedures or investigations prior to any elective surgery, which can be done at any time. Having your colonoscopy first, allows you to recover and do proper preparation of your breast and nasal work confident you have no impending health issues. Coordinate this between your gastroenterologist and your plastic surgeon.

Daniel Barrett, MD · Answer

Dear munirah97x,
every plastic surgeon has his own preoperative protocol which he recommends to his patients. I would suggest you to discuss this with your plastic surgeon.
Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

James Knoetgen, III, MD · Answer

When scheduling a colonoscopy in relation to elective surgery such as a breast implant revision, nose job, and fat grafting, timing is important to ensure your body is in optimal condition for both procedures. Here's what to consider:
Colonoscopy Before Surgery
1.	Adequate Recovery Time: If you choose to have the colonoscopy before surgery, it’s best to schedule it at least 1–2 weeks prior. This allows your body to recover from any potential dehydration or irritation caused by bowel preparation and the procedure itself.
2.	Bowel Prep Effects: Colonoscopy preparation can be physically taxing, and it’s essential to be well-nourished and hydrated before undergoing surgery.
Colonoscopy After Surgery
1.	Timing Post-Surgery: If you opt to have the colonoscopy after your breast implant revision and other procedures, wait at least 4–6 weeks or as advised by your surgeon. This ensures that your body has had time to heal and reduces the risk of complications.
2.	Healing and Positioning: Colonoscopies require lying on your side and some abdominal pressure, which could be uncomfortable or problematic shortly after surgery, especially with fat grafting or abdominal incision sites.
Key Considerations
•	Discuss this with both your surgeon and the physician performing the colonoscopy to determine the safest sequence based on your health, surgical complexity, and any medical conditions.
•	Since the colonoscopy is routine, delaying it until after you’re fully recovered from surgery may be more convenient and less stressful on your body.
It is generally better to complete the colonoscopy before your surgery, allowing time to recover without interfering with the healing process of the subsequent procedures. However, if scheduling conflicts arise, having it after surgery is feasible, provided you allow sufficient time for recovery. Always prioritize the advice of your medical team.

Camille Cash, MD · Answer

I encourage you to have your colonoscopy first.  That is an important medical screening to ensure your health.  You can proceed with your elective procedures after that.  Speak to your surgeon about any timing concerns.

Connie Hiers, MD, FACS · Answer

Do your colonoscopy first, then do your nose surgery, and last do your breast revision to minimize the risk of infections to your implants.

Colonoscopy and breast implant

Answers (9)

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