Will it affect me if I have a BBL while I am on arthritis-psoriasis treatment?

Question

It has been three (3) weeks that I am on medical treatment for Psoriasis-Arthritis and I am planning to do a BBL very soon. I have tried to talk to my surgeon but did not get clear idea whether it will affect or no. The medicine that i use is (Sandimmun Neoral oral solution) and in the instruction receipt its written that this medicine increases the chances of infections, and weakens the immunity system. in many cases, its used also for patients that do organ implants. many thanks

Yannis Alexandrides, MD, FACS · Answer

Yes, the medication that you're on can increase the chances of infection, and also your recovery. This needs to be discussed in detail with your surgeon and they should outline the options available to you. You could discuss whether the surgery could be postponed until you've finished your medication. I'm unclear on how long your have to be on this medication, however, my personal opinion is that it's best that the BBL should be postponed until you've finished the course of medication and for at least 6 weeks after this.

Daniel Barrett, MD · Answer

Dear Dem11,your medicines can affect healing process and you are at increased risk of complications. But as long as you get a clearance for a surgery, you might be a good candidate.  If you are considering a surgery, I would suggest you to consult a board-certified plastic surgeon. Only after a thorough examination you will get more information and recommendations.Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Kenneth Hughes, MD · Answer

The instruction accompanying the Sandimmun Neoral oral solution you are taking for your arthritispsoriasis provides side effects of the medication which includes weakening the immune system and increasing the chance of infections.  Speak with your PS again and determine a safe period of time when you could stop taking the SN to have and recover from your BBL.

Daniel Zeichner, MD · Answer

Hi and welcome to our forum!Any medication which hinders your immune system greatly increases operative risk. Your rheumatologist (or internist) is far more familiar with the effects of this drug than your plastic surgeon. The timing of an elective cosmetic procedure under these circumstances is of critical importance to minimize potential complications. Your plastic surgeon and rheumatologist must work together to determine an opportune window of time for this procedure.Best wishes...

Shady Hayek, MD - Account Suspended · Answer

This is a very important question and I am surprised that your doctor did not give you a clear answer. The medication you are on lowers the immune system and thus increases your chances of developing postoperative wound infection. My advise is to postpone the procedure until you either stop the medication or shift to one that does not affect your immune system.Shady Hayek, M.D. Plastic and Reconstructive Surgery Beirut, Lebanon

Will it affect me if I have a BBL while I am on arthritis-psoriasis treatment?

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