Will Crohn’s disease prevent my mommy makeover? (Photo)

Question

My doctor told me not to pay in full because i have Crohn’s disease, it’s been in remission for 2 years. He said i would be more likely to need blood thinners and more apt to DVT’s he didn’t want me as a PT. My Crohn’s doctor told said i was fine to have the surgery so I’m so baffled as to why he turned me down. Will having Crohn’s prevent me from healing or having a mommy makeover??? no other illnessI want breast aug and tummy tuck.

Kenneth Hughes, MD · Answer

If clearance is obtained for surgery and you are not currently taking any immunoregulating drugs, then surgery can be entertained.

Yannis Alexandrides, MD, FACS · Answer

If you have Crohn's disease but it is in remission and your surgeon has given you permission to have surgery, then it is possible to undergo a mommy makeover. However, you will need to have a proper informative consultation to explain the increased risks with your condition and you will need special care before, during, and after your operation.

Jeffrey M. Darrow, MD · Answer

There is no reason you couldn't have your MM as long as your Crohn's is inactive and your medical doctor gives the go ahead.  Do consider that you are at slightly higher risk due to the Crohn's but these issues should be easy to managed with a proper post operative protocol for ambulation and antibiotic coverage.  Contact ASPS for a list of board certified plastic surgeons in your area who could confidently mange your wishes.  Best wishes,

Emily Hartmann, MD · Answer

Thank you for your question as no doubt there are other patients out there with your same situation.  Crohn's disease is not an absolute contraindication to surgery however it generally carries an increased risk of complications especially if you take immune modulating medications. In elective cosmetic surgery there is a need to be conservative to minimize complications. You must understand your increased risks and have a long discussion with a board certified plastic surgeon. Just because we can do surgery does not always mean we should. This is between you and your surgeon to decide.

Robert M. Tornambe, MD · Answer

Mommy2268.   I am not sure why other doctor does not want to treat you?  As long as your other doctors agree that surgery is safe, I see no reason why you can’t have your Mommy Makeover.  Be sure to consult with a board certified plastic surgeon. Good luck!

Richard G. Reish, MD, FACS · Answer

Hello and thank you for your question.  The
best advice you can receive is from an in-person consultation.  If your Crohns disease is well controlled and you are otherwise healthy you are likely a candidate to safely proceed with surgery, given that your primary physician has cleared you for surgery.  Great care will need to taken in planning your surgery and aftercare between you and your surgeon.   Make sure you specifically look
at before and after pictures of real patients who have had this surgery
performed by your surgeon and evaluate their results.   The most
important aspect is to find a surgeon you are comfortable with. I recommend
that you seek consultation with a qualified board-certified plastic surgeon who
can evaluate you in person.
Best wishes and good luck.
Richard G. Reish, M.D.  FACS
Harvard-trained plastic surgeon

Heather Vande Ven, DO · Answer

Crohn's disease is a chronic inflammatory condition that primarily affects the digestive tract. It can cause a variety of symptoms such as abdominal pain, diarrhea, weight loss, and fatigue. The severity and impact of Crohn's disease can vary widely from person to person.Whether or not Crohn's disease will prevent someone from undergoing a "mommy makeover" procedure would depend on several factors, including the individual's overall health, the severity of their Crohn's disease, and the specific procedures involved in the mommy makeover.It's important to note that surgical procedures, including mommy makeovers, can put stress on the body and may not be advisable for individuals with certain medical conditions. Additionally, Crohn's disease could potentially increase the risk of complications during and after surgery due to the inflammatory nature of the condition and potential effects on the immune system.If you are considering a mommy makeover and have Crohn's disease, it's crucial to consult with both a qualified plastic surgeon and your gastroenterologist or primary care physician. They can provide you with personalized medical advice based on your specific health situation and help determine whether a mommy makeover is a safe option for you.Always prioritize your health and well-being, and make decisions in consultation with medical professionals who are familiar with your medical history and current health status.

Tom J. Pousti, MD · Answer

Well-controlled inflammatory bowel disease should not be a contraindication to proceeding with elective breast surgery.  You may want to clarify why your plastic surgeon was not willing to proceed. Ultimately, careful communication between your gastroenterologist and plastic surgeon will be important when it comes to optimizing your care.Best wishes.

Camille Cash, MD · Answer

Having Crohn's Disease does not preclude you from being a surgical candidate, but it does increase your risk.  Keep in mind that stress from surgery can trigger a flare up as well.  I recommend meeting with a board certified plastic surgeon in your area for a consultation.  You can explain the situation when making your appointment to be sure that the surgeon would be willing to consider you as a patient.  Be sure to bring along the list of medications that you take as they will need to be discussed with regard to how they effect surgery.

Charles T. Slack, MD · Answer

As others have said there is going to be some increased risk problems for you depending on what medications you are currently on. Medications for Chron's disease can casue problems with healing, an increased risk of infection and perhaps an increased risk of bleeding. I would also be worried about the stress of the surgery casuing a flare up of your Chron's. You can certainly still have the surgery but it would require good communication between your Chron's doctor and your plastic surgeon as well as an understanding by you that you are at increased risk for complications. Wether or not you need a blood thinner after surgery will depend on several other factors that we evaluate. I would be hesitant to put someone with Chron's on a blood thinner for fear that if they have a flare up the bleeding would likey be more significant. This needs to be a part of the discussion with your doctors. Thanks for your question.

Will Crohn’s disease prevent my mommy makeover? (Photo)

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