Is it possible to to get a mommy makeover, tummy tuck or liposuction with G6PD Deficiency?

Question

I have had three transverse c sections and I have tried every type of diet there is and I am interested in getting a flat stomach remove a fat pocket on my mons and possibly remove the scar I have from child birth. While contouring my natural butt  and getting rid of cellulite on my thighs and maybe filling out my sagging breast with fat transfer. Can any of this be done when I have G6PD Deficiency that I have never experienced any issue with.

Emmanuel De La Cruz, MD · Answer

Individuals with Glucose-6-Phosphate Dehydrogenase (G6PD) deficiency need to take special precautions regarding certain medications and treatments that might trigger a hemolytic crisis, where red blood cells are destroyed, causing anemia and other complications. This condition can be sensitive to certain drugs and oxidative stress.

Before considering any surgical procedure like a Mommy Makeover, tummy tuck, or liposuction, it's crucial for individuals with G6PD deficiency to inform their healthcare provider, including their plastic surgeon. This allows the medical team to take appropriate precautions and choose safe medications and anesthesia for the procedure.

Specifically, anesthesia and certain medications used during and after surgery need careful consideration. An anesthesiologist and surgical team must be aware of this condition to select medications that won't trigger a hemolytic crisis in individuals with G6PD deficiency.

It's essential to have a thorough discussion with your healthcare providers, including a hematologist or a specialist familiar with managing G6PD deficiency, to assess the risks and ensure safety during and after the procedure. They can help tailor a treatment plan and precautions to minimize potential complications associated with the surgery and the condition.

Daniel Barrett, MD · Answer

Dear Phenomenal733534,
it is hard to tell for sure without an examination. You will need to get a clearance from your doctor prior to surgery. If you are considering a surgery, I would suggest you to consult a board-certified plastic surgeon. Only after a thorough examination you will get more information and recommendations.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Gary M. Horndeski, MD · Answer

You need to get medical clearance from your physician first before surgery.  You need to make them aware that the operation may take 4-6 hours, depending on what all is done.  If you are not planning future pregnancies, I recommend abdominoplasty with mesh reinforcement.  The mesh creates a more hourglass figure by compressing the abdominal wall resulting in early satiety and helps maintain a reduced weight.  Best Wishes,Gary Horndeski, M.D.

Robert M. Tornambe, MD · Answer

I appreciate your concerns and the good news is that you have not seen any signs of this deficiency to date. However stress can trigger it and surgery is a stressful phenomenon. Your first step should be discussion with your medical doctor about risks regarding elective surgery with this condition. If medically cleared, You may then discuss your desires and plan your mommy makeover with a board-certified plastic surgeon in your area. Good luck.

Michele Cooper, MD · Answer

Thank you for your question. I’m sure there are other women out there who have been told they could never have surgery. Surgery can be done with this deficiency but precautions must be taken and certain anesthetic and drugs must be avoided so as not to cause a flare. The stress of surgery itself could induce a flare, as could a post-operative infection. These considerations need to be addressed before surgery by your primary care physician and your plastic surgeon. I would recommend the shortest possible surgeries with the smallest risk this would depend on your current body shape. I recommend seeing a board certified plastic surgeon.

Camille Cash, MD · Answer

The first step is to visit with your primary care physician to discuss your desire for a Mommy Makeover.  If given medical clearance you can then meet with a board certified plastic surgeon near you for a consultation.  While it is great that you have had no issues from your condition in the past, stress from surgery can be a trigger.

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