How do surgeons manage immuno-compromised patients? 70 y/o concerned about risks while taking immune suppressing medication.

Taking methotrexate does not necessarily make it impossible to have surgery. You are correct that methotrexate can possibly increase the risks of surgery, specifically wound healing and infection. It would have to be a discussion between you, your surgeon, and the doctor managing your methotrexate. The things to consider are: (1) whether the methotrexate can be stopped for short period or reduced or (2) splitting up the surgeries, so you are not left with multiple wounds if the healing is delayed. I would recommend consulting with your doctor and surgeon to discuss our concerns and how to best manage your medication.

Thank you for your question regarding managing immunocompromised patients.

I would recommend that you see two or more experienced, licensed and board-certified providers in your area for a complete evaluation to make sure you are a good candidate and that it is safe for you to have treatment.

In my practice, patients meeting certain requirements are required to undergo pre admissions testing and may require a surgery clearance letter from the physician managing his/her care.

Hope this helps!

Methotrexate is not necessarily a deal breaker for your facelift. Ask your surgeon to look into it and discuss with your other doctor. It should be possible to have done.