Is liposuction possible with Lupus hat has been in remission for two years?

Question

Hi, I am a 50 year old woman with SLE & would like liposuction, I have been in remission for 2 years, is it possible? I take Mycophenolate, Hydroxychloroquine and candesartan as well a vitamin D3 and multivitamins. I go to the gym & eat healthy but cannot shift stubborn fat areas.

Robert M. Tornambe, MD · Answer

korreyI appreciate your concern however as your lupus is in remission, your medical condition should not be an issue. However yourboard-certified plastic surgeon will most likely request medical clearance from your doctor treating the lupus. Best of luck.

Finny George, MD · Answer

Hi, thank you for your question. 
Lupus puts you at increased risk of complications with surgery. Risks could include poor wound healing, blood clots and a suboptimal result. You should consult with your rheumatologist before considering any elective surgery. 
Best of luck!

Kenneth Hughes, MD · Answer

Hello.
Great question. You will need a medical clearance from your specialist in order to be considered a surgical candidate. A clearance that states you are cleared to undergo a cosmetic surgical procedure. Please visit a board certified plastic surgeon for a detailed surgical plan to achieve your desired results.

Jason Emer, MD · Answer

yes lupus patients can get liposuction with the right 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.

Daniel Barrett, MD · Answer

Dear korrey,
as long as your Lupus is under control, you might be a candidate for liposuction. 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

Tania Medina de Garcia, MD · Answer

Hello dear!!
Thanks for the question and provided information as well. 
Your condition should not be an issue, but you will need clearance from your primary doctor. After that, 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 :)

Christopher Hankins, MD · Answer

It is not easy to answer this question definitively without much more clinical information. At the very least, any surgical intervention in a patient with SLE would require the coordination and involvement of both your primary care physician as well as your rheumatologist, especially an elective procedure such as liposuction. 
It might be preferable to utilize a non-surgical form of fat reduction such as TruSculpt ID, depending on the amount of excess fat that you are unhappy with, but even in this case, the input of both your primary care physician as well as your rheumatologist should be sought prior to treatment.

Ven Erella, MD · Answer

Thank you for your question. It can be done but usually not extensive. I recommend to get clearance from your rheumatologist and consult with board certified PS for evaluation.

Mark Soldin, MBChB · Answer

With a medical history like yours you are always going to be at higher risk than a similar patient with no medical history. What is your BMI ? If over 30 would it not be sensible to diet first? How many areas do you want treated - if the liposuction is going to be a large volume, then best to avoid surgery. If the fat needing removal is lower volume then perhaps surgery is a possibility

Mary Lee Peters, MD (retired) · Answer

There should be no reason that Lupus should prevent you from having body contouring surgery such as liposuction.  You will want to discuss this with your rheumatologist including any adjustment of medications around the time of surgery.

Is liposuction possible with Lupus hat has been in remission for two years?

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