Can I safely have liposuction with a J-pouch?

Question

In 2021 I have my large intestine removed and reversed , I now have a jpouch I wanted to know can I still have a lipo

Semih Yildiz, MD, FEBOPRAS · Answer

A J-pouch does not automatically rule out liposuction, but it makes the preoperative evaluation more important. Your plastic surgeon should review your abdominal surgical history, scars, any hernia risk, current pouch function, medications, nutrition, hydration status, and whether you have had recent flares, infections, anemia, or steroid/immunosuppressive treatment.

Because you have had major bowel surgery, I would want clearance from your gastroenterologist or colorectal surgeon before elective liposuction, especially for the abdomen. Liposuction is performed in the fat layer, but prior abdominal surgery can create scar tissue and change the risk profile. If your pouch function is stable and your exam shows no hernia or high-risk scar issues, liposuction may still be possible, but the safest plan may be more conservative and limited than in someone without that history.

Kadir Berat Oyur, MD · Answer

We have reviewed your question. Liposuction may be possible with a J-plasma, but you should first be evaluated and cleared by your colorectal specialist. An in-person consultation is recommended.

Can I safely have liposuction with a J-pouch?

Answers (2)

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