I am scheduled to have a Breast Augmentation in 1 month. I have had psoriatic arthritis for 8 years. (photos)

Question

My concern is am I putting my health at risk by having surgery? Sometimes it can flare up psoriasis. I was on methotrexate for 5 years and have been off of it for 1 year. I have had a little bit of a flare about 2 weeks now. I got a sunburn and flared it up. I am 51 years old take really good care of myself. I am just worried that this surgery could stir up havoc in my body. I really want to have this surgery. Just wanted your opinion. Thank you for your time.

Aldo Guerra, MD · Answer

Hello and thanks for your post. The best source of information is your rheumatologist who is familiar with the specifics of your situation. I do not believe that silicone will exacerbate your condition, but the topic is controversial. Best wishes, Dr. ALDO.

Jennifer Lauren Crawford, MD · Answer

It is definitely true to say that many of us have operated on patients with a variety of autoimmune diseases (provided they were cleared by their providers) and had no unusual complications resulting from that.  I have never seen an acute flare of psoriasis, IBD, lupus, or RA in my practice as a direct result of an operation, but I'm sure it is possible for a stress reaction to trigger something to happen.  It would definitely be optimal to have your disease well managed before surgery and not operate in the midst of a flare especially if you are taking higher doses of methotrexate or a steroid to control it.  Those medications are known to increase infection and wound healing problem rates.  If you remain off of medications, that is great!  Speak with both your surgeon and derm/rheumatologist for their opinion.  I think they will help to reassure you.

Vincent N. Zubowicz, MD · Answer

There really should be no problem with the breast augmentation. Clearly the medications taken for this ailment need to be considered by the plastic surgeon. It probably would be a good idea to mention this to your rheumatologist before proceeding however.

Tom J. Pousti, MD · Answer

Thank you for the thoughtful question. Despite good intentions, online consultants will not be your best resource here. Your rheumatologist, who may have treated you for years, will your best resource when it comes to advice. Ultimately, I think it will be very difficult to predict whether breast augmentation surgery will cause a flare up ( your previous experience with surgery may be the best predictor). Best wishes with your decision-making and for an outcome that you will be pleased with, if you choose to proceed.

Ravinder Jarial, DO · Answer

Greetings. Your concern is valid. If your rheumatologist feels you are relatively controlled and your plastic surgeon has no concerns, then the risk of any issues should be low. Good luck!

I am scheduled to have a Breast Augmentation in 1 month. I have had psoriatic arthritis for 8 years. (photos)

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Answer: I am scheduled to have a Breast Augmentation in 1 month. I have had psoriatic arthritis for 8 years.

Answer: I am scheduled to have a Breast Augmentation in 1 month. I have had psoriatic arthritis for 8 years.

Answer: Psoriatic Arthritis and Breast Augmentation

Answer: Psoriatic Arthritis and Breast Augmentation

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I am scheduled to have a Breast Augmentation in 1 month. I have had psoriatic arthritis for 8 years. (photos)

Answers (8)

Answer: I am scheduled to have a Breast Augmentation in 1 month. I have had psoriatic arthritis for 8 years.

Answer: I am scheduled to have a Breast Augmentation in 1 month. I have had psoriatic arthritis for 8 years.

Answer: Psoriatic Arthritis and Breast Augmentation

Answer: Psoriatic Arthritis and Breast Augmentation

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Everything you need to know about Breast Augmentation

Our mission is to create a world where every investment in modern beauty is Worth It.