Hello dear!Thanks for the question and provided information as well.Subutex is not a contraindication for BBL surgery. In general, you need to be physically healthy and at a stable weight, have realistic expectations, be a non-smoker and your BMI needs to be 30 or less.l recommend you to make an appointment with a board certified plastic surgeon to talk about your goals and anything you need to know.Good luck :)
You can definitely have an elective surgery while on Subutex. Would you cannot have is effective opioid pain control while on the medication. The antagonistic effect of the Subutex well block any normal dose of opiate pain medication during and after the procedure.There are generally two approaches to managing patients like yours. Want us to keep patients on the medication and possibly bumping up the Subutex does after surgery. The surgeon needs to use ample amounts of local anesthesia and the anesthesiologist needs to be aware that opiates will not have an affect during the surgery. The surgeon has to place numbing medicine meticulously through all the areas being treated so the patient can tolerate postoperative pain in the recovery area. I do all body contouring procedures with liposuction and fat transfer with my patients awake. This generally requires the use of narcotic pain medication and lots of local anesthesia. Because the patients are awake meticulous use of a local anesthesia is mandatory And recovery is fairly straightforward. During general anesthesia the surgeon may not be aware if certain areas are not covered properly with local anesthesia since you’ll be asleep. It’s up to the surgeon to technically place local Anastasia in all areas appropriately. This varies significantly between different providers. there will be some uncertainty of the amount of pain you’ll have immediately after the procedure. Most likely it’ll be tolerable but you’ll be limited in pain management while on Subutex.The other option is to wean you off Subutex. This generally means bridging people on opiate agonists then switching back to Suboxone after surgery. Considering the primary indication for the use of Subutex this is probably not a very good idea unless you have a very strong program, and medical team sponsor etc. who are on board with you going on opiates short term. For some people it’s a risky proposition that could cost them their life.You’ll get a varied number of responses from different providers. You need to be absolutely sure that the surgeon understands this medication and it’s implication of the surgery. You should also meet with the anesthesiology team before surgery so they have a plan in action. Afternoon they anesthesiologist is assigned to a case the day of surgery. Your surgeon should be able to get a hold of the anesthesiology team and talk to them so they have a plan in action regardless of what anesthesiologist is assigned to your case.The important work needs to be done before surgery.With the appropriate use of local anesthesia the pain after liposuction and fat transfer does not require narcotic pain medication. We have treated thousands of patients successfully using ibuprofen only in regards to postoperative pain management. This does rely on the proper use of local anesthesia which helps the patient bridge the gap for the first few hours after surgery.Best, Mats Hagstrom MD