Can someone who has a pituitary tumour (Prolactinoma) still have a rhinoplasty?

Question

Richard G. Reish, MD, FACS · Answer

Hello and thank you for your question. This would need to be determined by your overall medical stability from this as well as obtaining medical clearance from the physician team who manages your prolactinoma. If you obtain clearance, then I recommend that you seek consultation with a qualified board-certified rhinoplasty surgeon who can evaluate you in person.

Best wishes and good luck.

Richard G. Reish, M.D.
Harvard-trained plastic surgeon

Best wishes and good luck.

Richard G. Reish, M.D.
Harvard-trained plastic surgeon

Semih Yildiz, MD, FEBOPRAS · Answer

Many people with a well-controlled prolactinoma can undergo elective rhinoplasty, but clearance should come from the treating endocrinologist or neurosurgical team. The tumor’s stability, prolactin level, pituitary hormone function, symptoms, and current medication all matter.

Provide recent records and a complete medication list to the surgeon and anesthetist, including cabergoline or bromocriptine if used. Elective surgery should be postponed if the condition is newly diagnosed, hormonally uncontrolled, changing on imaging, or causing headaches or visual symptoms. The surgical and endocrine teams should agree on perioperative medication and monitoring before proceeding.

Christopher David Jones, MBBS, BSc, FRCS (Plast) · Answer

Patient safety is paramount. It is common practice for all patients undergoing any type of surgery to have a pre-operative assessment and anaesthetic review. If any concerns are identified, surgery will be delayed until the patient has been optimised.

Eric M. Joseph, MD · Answer

The overwhelming majority of people with prolactinomas are managed with medication for the rest of their lives. Less than 10% of people may require surgery, especially if the tumor continues to grow and caused symptoms. When somebody needs surgery for a prolactinoma, many neurosurgeons will work with an otolaryngologist to perform a trans-nasal, trans-septal hypophysectomy. Gaining access to the pituitary gland through the nose would be much easier if somebody's nasal septum has never been worked on. Great question. I hope this helps, and I wish you well. Sincerely, Dr. Joseph

George Lefkovits, MD - Account Suspended · Answer

As long as you are medically cleared for your pituitary tumor you should be able to undergo a Rhinoplasty. You should consult with a Board Certified plastic surgeon with lots of experience performing Rhinoplaty.

Can someone who has a pituitary tumour (Prolactinoma) still have a rhinoplasty?

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Answers (5)

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