I have hidradenitis suppurativa. Could this be an issue for a tummy tuck/breast augmentation?

Question

I would like to have the tummy tuck/breast augmentation procedures once I reach my goal weight and am curious if this condition wold prevent me from being a candidate. I currently take no meds. Just deal with it as it happens. I have scars everywhere but currently only have issues with the area between my breasts. It comes and goes. Thank you in advance for your input.

Joshua D. Zuckerman, MD, FACS · Answer

Thank you for your question.  Hidradenitis can be a frustrating problem.  It should not, however, prevent you from safely undergoing tummy tuck and breast augmentation or from getting a great post-op result.  I would recommend visiting with your dermatologist prior to surgery to ensure that the hidradenitis is properly under control and to potentially receive suppressive or prophylactic antibiotic therapy.  Following surgery, you should continue to be monitored for issues stemming from it, and treat them accordingly. Good luck!

Raffy Karamanoukian, MD, FACS · Answer

There are biologic, immune 
modulating, and surgical treatments for Hidradenitis. In my office, we 
begin by controlling the onset of HS and the longterm scarring is 
mitigated. Treatments for hidradenitis scarring are many including 
topical treatment protocols and laser therapy.

Best,

Dr. Karamanoukian

Realself100 Surgeon

Luis A. Mejia, MD · Answer

hello thank you for your question and provided information as well. based in your question its very important if you visit before to see a plastic surgeon , its recommended get a consultation with your primary doctor and if he get ok with your condition  , you can get a consultation with your plastic surgeon to see what do you need.

Robert M. Tornambe, MD · Answer

aem143. I appreciate your concern and ongoing issues with hidradenitis. This condition should not preclude you from mommy makeover surgery, as long as you are not having an acute flareup right before your scheduled surgery. Your plastic surgeon may consider keeping you on antibiotics for a week or so after surgery to prevent flareups from the hidradenitis during immediate recovery. Consult with a board-certified plastic surgeon in your region and discuss these issues. Good luck.

Ken Dolynchuk, MD · Answer

Thanks for the question about your surgery and your condition. No, having HS is not a problem if you are well controlled and not scheduled during a flare up. The antibiotics available for perioperative use will suffice. Do use all precautions though. Smoking is contraindicated. Skin hygiene is important as is topical clindamycin for any outbreaks. If you have concerns call your plastic surgeon right away. Hope this helps.

I have hidradenitis suppurativa. Could this be an issue for a tummy tuck/breast augmentation?

Answers (5)