I am on Prozac and abilify, and would like to know if it’s ok to have smartlipo done on my abdomen, waist, and arms?

Doll,Great question. Almost all surgeons use tumescent anesthesia with Lidocaine anesthetic. Lidocaine metabolism competes with Prozac.  For a small liposuction or one that uses only a little bit of lidocaine that is not an issue, however, if large areas are being treated and or larger doses of lidocaine are being used accommodations to lower the risk should be done.  Usually this means either stopping the prozac or switching to another SSRI antidepressant that does not interact with lidocaine for a week or so around the surgery.  A careful surgeon or anesthesiologist will discuss this with you at your preoperative visit. Wishing you the best of health.

Hi and thank you for your question. I recommend you schedule a consultation with a Board Certified Plastic Surgeon and discuss your medical history with them to determine what is needed prior to the procedure. They may require medical clearance from your physician as each surgeon has different protocols. I hope this helped! Best wishes.

Prozac and Abilify are not contraindicated for SmartLipo, however, I do agree that you should obtain medical clearance from the prescribing physician prior to your procedure. It is important to ensure that your weight gain is under control prior to having this procedure, otherwise you can gain it back. In my practice we use tumescent liposculpture, sometimes in conjunction with other non-invasive body contouring devices such as CoolSculpting and Thermi to help our patients achieve their unique treatment goals. Once you receive medical clearance for your procedure, I would recommend having your procedure with a board-certified cosmetic dermatologist who is an expert in body contouring. 

Hello and thank you for your question,

Smart Lipo uses Lidocaine for local tumescent anesthesia.
Some medications interact with the clearance of Lidocaine from the blood stream, and therefore in such cases there is a higher risk for Lidocaine toxicity.
There are 2 options: holding the Prozac 2 weeks prior to your procedure or using the minimum amount of Lidocaine required. 
It is always wise to get a medical clearance before the procedure.
Good luck from Westchester County,NY.

Oxana Popescu MD

It makes sense to have a depression specialist ensure that your depression is under control before embarking upon any type of cosmetic surgery to ensure that the stress of surgery will not cause your depression to spiral out of control. However, if you are stating that your depression meds are the cause of your weight gain AND you plan on staying on those meds, then perhaps lipo is not such a great idea. First, lipo is not a weight loss procedure. Second, you will continue to gain weight regardless of lipo. The best candidates for lipo are those who are weight stable and nonobese. You should ask your depression doctor to see if other meds can manage your depression without causing weight gain.

Thanks for your question. I don't see a big problem with taking those medications and having liposuction (of any type). If you surgeon wanted some additional confirmation from your other doctors that your depression was well-controlled, I could understand the need for the medical clearance then. That should not be hard for you to get. Best wishes!

Thank you for your question.In my experience there are more patients on a mood stabilizer than not on one. If a patient has any question about having surgery safely performed I would also ask them to obtain clearance from the prescribing physician.
Realistic expectations are important. Also having this procedure performed does not guarantee you will be happy with the results. Good luck

Thank you for your question. Based on the history, you should be done for smart lips. I recommend you to get medical clearance for safety.

Hi, thank you for your question. Being on Abilify and Prozac is not a contraindication to Smart Lipo. Be sure to obtain medical clearance from your doctor. Also, before obtaining the procedure, try to ensure stability of your conditions and have reasonable expectations in regards to procedure outcomes. I hope this information helps. Good luck!

Your medications per se should not prohibited you from having liposuction. I have treated many many people on those meds. I perform 100's of liposuction procedures a year. Good luck.