Can you have liposuction with adrenal insufficiency/addisons disease?

A person with Addison's disease can have liposuction provided that the disease is well controlled and clearance is given by the managing endocrinologist. The anesthesiologist and surgeon will have to be made aware of this to allow for stress dose steroids, and the healing will be compromised to some extent.

you can have liposuction as long as you have medical clearance.
You need a formal evaluation by an expert in body shaping and contouring to determine what is best.  Traditional liposuction awake and smart liposuction are old methods and do very poorly for tightening skin or significant skin tightening or contouring.  Small problem areas can be improved slightly by these methods.  The best in body contouring not only removes fat with energy devices like VASER ultrasound but also internally heat the skin with radio-frequency devices such as J PLASMA/RENUVION, InMode BodyTite, ThermiRF to heat the under surface of the skin and tighten it at the same time as fat removal. These combinations are called 4D HIDEF VASER contouring and can only be done by a well . trained body contouring specialist. At the same time fat should be harvested, PRP and stem cells added and injected into muscles or indentations/cellulite to get body shaping and contouring.  This is known as a Brazilian butt lift when you inject the fat to the buttock for contouring and lifting, but fat can also be used in areas such as the chest/breast, arms/shoulders, calves and face.  Cellulite should also be treated with cellfina, sculptra, subcision and/or fillers such as bellafill, renuva synthetic fat, or sculptra.  If skin is very loose before surgery then it will need to be removed such as lower abdominal skin (tummy tuck/abdominoplasty), breast skin (breast lift), arm skin (brachioplasty).  Overall you need a full assessment, but simple liposuction alone will not tighten skin and needs a combination of various methods -- fat removal, skin tightening, defining, fat grafting, skin removal -- to get the best in body contouring and body sculpting.  Dr. Emer.

Hello and thank you for your question. As long as your medical condition is being treated and is stable, you should be fine having the surgery. You will likely need a clearance from your endocrinologist. I would seek consultation with a board-certified plastic surgeon for a full evaluation and advice.
Best wishes and good luck,

Pejman Aflaki, M.D.

Johns Hopkins-trained double board-certified plastic surgeon

Dear kaital,Thank you for your question. As long as an appropriate medical work-up is performed, liposuction can be safely performed. You may need stress doses of various hormones but that can be managed by working closely with your endocrinologist.Good luck,Nirmal R. Nathan, M.D.

Certified, American Board of Plastic Surgery

Member, American Society of Plastic Surgeons

Dear kaitlal,
if you get a clearance from your doctor, then a surgery might be an option.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

kaitlalI appreciate your concerns and your first step should be to consult with your medical doctor treating your Addison’s disease. If medical clearance is obtained, then surgery may be possible, if you are an appropriate candidate. In some cases, liposuction can be performed under completely local anesthesia. After discussing the issue with your medical doctor, consult with a board-certified plastic surgeon in your area to explore the best options for you. Good luck.

Liposuction is a surgical procedure that should only be considered after a thorough evaluation and discussion with a healthcare provider, especially if you have underlying medical conditions like adrenal insufficiency or Addison's disease. Here are some important considerations:
1.) Medical Evaluation: Before undergoing any surgery, individuals with adrenal insufficiency or Addison's disease should have a comprehensive medical evaluation by a healthcare team that includes an endocrinologist or a specialist familiar with these conditions. The evaluation will assess your overall health and the stability of your adrenal function.
2.) Hormone Replacement Therapy (HRT): Addison's disease is characterized by the inability of the adrenal glands to produce essential hormones, such as cortisol and aldosterone. Patients with this condition typically require lifelong hormone replacement therapy to maintain their health. The surgical stress associated with liposuction can impact cortisol levels, so it's crucial to work closely with your endocrinologist to ensure your hormone replacement therapy is appropriately adjusted before, during, and after the surgery.
3.) Surgical Risks: Surgery, including liposuction, carries certain risks, such as infection, bleeding, and anesthesia-related complications. Patients with adrenal insufficiency may be at increased risk due to their underlying health condition. Your healthcare team will need to assess these risks and make necessary preparations to minimize them.
4.) Recovery and Monitoring: After liposuction, individuals with adrenal insufficiency or Addison's disease may require close monitoring of their cortisol levels and overall health during the recovery period. Corticosteroid supplementation may need to be adjusted during this time to prevent adrenal crises.
5.) Consultation with Specialists: It's crucial to have a multi-disciplinary approach to your healthcare. Your surgeon, endocrinologist, and anesthesiologist should work together to create a comprehensive plan that addresses your specific needs and minimizes risks.
6.) Individual Considerations: The feasibility of liposuction will depend on the severity of your adrenal insufficiency, your overall health, and the specific surgical techniques used. It's possible that liposuction may not be recommended in some cases, or alternative treatments may be explored.
In summary, liposuction can be performed on individuals with adrenal insufficiency or Addison's disease, but it requires careful evaluation, preparation, and monitoring by a team of healthcare professionals who are knowledgeable about these conditions. Never undergo any surgical procedure without consulting your healthcare provider, and make sure they are aware of your specific medical history and any underlying conditions.

Hello dear!!
Thanks for the question and provided information as well. 
Please talk to your endocrinologist to get clearance for plastic surgery and then I suggest you to book a consultation with a board certified plastic surgeon to discuss the best options for your goals.
Hope this is helpful. Good luck :)

There is certainly patience with adrenal insufficiency Who undergo elective surgical procedures successfully.This can be a challenging situation and it is one that requires having an internist or endocrinologist on board with guidelines of steroid management before and after surgery.not managing hormones appropriately after surgery can leave this devastating outcomes.Start by talking to your primary care doctor or endocrinologist whoever is managing at your adrenal insufficiency.Board-certified plastic surgeons have years of experience And have generally been faced with people requiring stress does steroids after surgery at least at some point in their past.Having surgery by someone oblivious to these concepts could potentially be life-threatening.Best, Mats Hagstrom MD

It is important to discuss this with your specialist and a board certified plastic surgeon before proceeding with any cosmetic surgeries. This will ensure every safety measure is taken and you receive careful and thoughtful attention. A Skype or FaceTime consultation with a VASER specialist will help you get an accurate recommendation and pricing.
Respectfully, 
Arian Mowlavi MD, FACS
Realself 100 Hall of Fame Inductee