Can you get Lipo and BBL with Hidradenitis Supporativa under the arms? Will it spread to other areas,possibly drain sites?

Question

Three days ago I was diagnosed with hidradenitis supporativa under the arms. I've had an issue for about 3 years but always afraid to say. Now that I know what it is I would like to know if this can affect me having liposculpture and bbl in Dominican Republic. I've never experienced it in any other areas before and would also like to know is it likely for me to get it in other areas that are common or where the drain site may be

Richard A. Bartlett, MD · Answer

Dear 4evadetermined, It is always recommended to have the hidradenitis under control before having another procedure, this will decrease your risk of developing an infection post operatively. I would seek advice for your operating surgeon, but some patients benefit from washing with Hibiclens in that area, which is a antiseptic/antimicrobial body wash containing Chlorhexidine. Hope this helps!

Kenneth Hughes, MD · Answer

Try to seek treatment for the HS first.  Then have the liposuction and BBL.  I take care of both procedures frequently.Kenneth Hughes, MDLos Angeles, CA

Robert L. Kraft, MD, FACS · Answer

Hidradenitis is surgically treatable so I would question why this has not been addressed. I personally would not want to operate on someone with an active infectious process, even for lipo, which is still an invasive procedure. Hidradenitis affects the areas with "sweat glands" including the groin so it is possible for you to develop the condition in that area as well. Additionally, if you plan surgery in the DR, what is your backup plan if complications develop after you return to the US?  Many of us rant and rave about medical tourism and its risks.  I suggest that you read about this issue before going overseas.

Can you get Lipo and BBL with Hidradenitis Supporativa under the arms? Will it spread to other areas,possibly drain sites?

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Can you get Lipo and BBL with Hidradenitis Supporativa under the arms? Will it spread to other areas,possibly drain sites?

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