Can you get a BBL with pelvic inflammatory disease?

Question

I have pelvic inflammatory disease so there is sometimes pain. I am ok with having a more painful recovery if I were to get a BBL but I want to make sure I am still alive when I’m done and there will be no complications with the fat transfer or incision marks & possible nerve damage from the BBL.

Roger Tsai, MD · Answer

Great question!  Liposuction of the abdomen involves the fatty tissue between the muscle and the skin.  PID issues are in the pelvic cavity which is under the muscle.  During liposuction this area is not violated and therefore should not cause any issues with your PID.  As far the fat transfer goes, it is far away from the pelvic cavity and should have no affect with your PID either.  With that said, you could still have the same issues and complications as everyone else.  I always get a medical clearance for all my patients with their primary care physician and if they say you are safe for surgery then it shouldn't be an issue.Best of luck and hope this information helps!
- Dr. Roger Tsai  @DrRogerTsai
Board Certified Plastic Surgeon

Geuris Cruz Quiroz, MD · Answer

Thank you for your question!
Yes dear, you should be able to have a BBL. I don’t see any contraindication in patients with (PID). During liposuction this area is not violated and therefore should not cause any issues with your (PID)
I recommend you to get a medical clearance from your primary care physician, documenting that your PID is quiescent and stable.
Good luck!
Dr Quiroz

Daniel Barrett, MD · Answer

Dear camillarose2018,
if you have an active infection, you should wait to get an elective procedure. You might need a clearance from your OB/GYN to proceed with surgery. 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

Mats Hagstrom, MD (license on probation) · Answer

I don't see any contraindication to getting a BBL in patients with a history of pelvic inflammatory disease.   I like performing BBL's and believe it to be a good procedure. That said, it has been described by the American Society of plastic surgeons as the most dangerous cosmetic surgical procedure with an estimated mortality of one out of 3000 patients. Personally I believe the risks are not nearly that high especially when performed by properly trained individuals.  To date I have not had a single complication from a fat transfer procedure.  Our society has also asked each plastic surgeon to have a particular discussion about fat embolism's with patients requesting consultations for BBL procedures. This is the single complication that is unique to a BBL that can cause devastating and possible fatal outcomes.  The great majority of plastic surgeons have never had this complication and are unlikely to have it during their career. Consult with several board-certified plastic surgeons in your community to get better acquainted with the procedure and to determine if you're a good candidate.  Best, Mats Hagstrom M.D.

Edward J. Domanskis, MD (in memoriam) · Answer

Yes, you should be able to have a BBL with PID but I and probably no plastic surgeon will guaranttee that there will be no problems and you will be happy withthe results. Problems like infections, unevess,etc do occur but in the minority of cases.

Robert A. Hardesty, MD, FACS - Account Suspended · Answer

Dear Ms. Camillaroe2918,Hello again!
Thank you for your questions. 
Unfortunately without a in person consultation, review of your past medical history and a physical exam I am limited to provide general but hopefully helpful information.
Pelvic Inflammatory Disease (PID) is not in itself per sae a contraindication to having a Brazilian Buttock Lift (BBL).  I would recommend a clearance letter from your OB-GYN documenting that your PID is quiescent and stable. 
Are you candidate for BBL? Would require a complete exam of your tissues and how much fat you have.
“Will you die”? Highly unlikely, if proper medical clearances obtained, you are in good health, your Plastic Surgeon is Board certified and your surgery takes place in a accrediated surgical center. However, the BBL Procedure is unfortunately associated with the highest mortality rates of all plastic surgery. Further investigations have shown the deaths are associated with injection fat directly into the muscle rather than into the tissues above the muscles. Thus the experience and track record of your Plastic Surgeon should be paramount in your decision process. 
I trust your chosen Plastic Surgeons is a experienced and Certified by the American Board of Plastic and ideally a member of the American Society for Aesthetic Plastic Surgery (denoting by membership as having met additional criteria and a focus on Cosmetic Plastic Surgery).
My best wishes,
R. A. Hardesty, MD, FACS
Diplomate and Certified by the Am. Bd. of Plastic Surgery
wwwimagineplasticsurgery.com
Awardee: RealSelf Top 100
4646 Brockton Ave
Riverside, Ca 92506
(951) 686-7600

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