Can doxycycline be used in place of the traditional prophylactic liposuction treatment?

Question

Tetracyclines are one of the few classes I am not allergic to. Severe reactions to all pens, cephs, and macrolides.

Stephen T. Greenberg, MD, FACS · Answer

Thank you for your question.  Just let your surgeon know what you are allergic too and what you are able to take and they will make sure they give you something safe.  Best of luck to you.

Pejman Aflaki, MD · Answer

Hello and thank you for your question. You should discuss this with your plastic surgeon. Vancomycin is a common alternative to be used as prophylactic antibiotics in penicillin-allergic patients. Doxycycline is probably O.K too. Talk to your surgeon. Best,
  
Pejman Aflaki, M.D.
  
Johns Hopkins-trained double board-certified plastic surgeon

Samir S. Rao, MD · Answer

Doxycycline should be just fine (given your allergies) to protect against the types of bacteria for which we give antibiotics before and after surgery.

Francis Johns, MD · Answer

Thank you for your question.I would discuss this with your surgeon, each surgeon has their preference on what antibiotics they like to use. Doxy is an acceptable choice, based on your allergy profile. Again, discuss this with your surgeon.

Kenneth Hughes, MD · Answer

Inform your board certified plastic surgeon of your severe allergic reactions to all pens, cephs, and macrolides.  Substituting doxycycline should not pose a problem.

Daniel Barrett, MD · Answer

Dear Vivid6836,
every plastic surgeon has his own preoperative protocol which he recommends to his patients. Most plastic surgeons use a single antibiotic dose prior to surgery. I would suggest you to discuss this with your plastic surgeon.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Nirmal Nathan, MD · Answer

Dear Vivid6836,Thank you for our question. Yes, doxycycline can be used for surgical prophylaxis before a liposuction procedure. Your drug allergies should be reviewed by both your surgeon and anesthesiologist.Good luck, Nirmal R. Nathan, M.D.
  
Certified, American Board of Plastic Surgery
  Member, American Society of Plastic Surgeons
  RealSelf Top Doctor

Robert M. Tornambe, MD · Answer

Vivis6836I appreciate your concern, and doxycycline is a reasonable option for antibiotic prophylaxis prior to liposuction. Only one dose is required just before your operation begins. Discuss your drug allergy history and all aspects of your medical history with your board-certified plastic surgeon prior to surgery. Good luck.

Douglas Taranow, DO, FACOS · Answer

I usually only treat my liposuction patients with a single dose of IV antibiotics just prior to the start of a procedure.  No further antibiotics are indicated and Doxycycline is a very good antibiotic option.Best of luck.Dr T

Robert L. Kraft, MD, FACS · Answer

Many individuals have antibiotic sensitivities or allergies. The tetracycline group, including doxy, can be substituted.

Can doxycycline be used in place of the traditional prophylactic liposuction treatment?

Answers (13)

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