How long should I be off Sustanon 250 “steroids” before liposuction to abdomen and flanks?

Clinically, a Sustanon dose of 250mg is used every 3-4 weeks for testosterone replacement therapy. Steroids impair almost all aspects of healing, but being off Sustanon 250 for two months prior to lipo should be adequate. If steroids cannot be discontinued due to the tonicity of the problem for which they are being utilized, their inhibitory effects on the healing process can be modulated by the concomitant administration of Vitamin A either topically or systemically.Kenneth Hughes, MD, ABPS Board Certified Plastic SurgeonLos Angeles, CA

Usually a month is enough and 2 months even better as long
as the steroids are not required to treat another medical condition.
Discuss it with your doctor and a board certified plastic surgeon.
Best wishes.

Dear diesel83,
steroid therapy can cause significant complications during and after surgery so surgeons recommend their patients to stop using it prior to surgery. Every plastic surgeon has his own preoperative protocol regarding the length of steroids cessation which he recommends to his patients. 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

diesel83I appreciate your concern, however one month should be adequate time to be off steroid medications prior to surgery. However you need to check in with Urmen Plastic Surgery and Aunt supply all my past medical history including medications. Good luck.

I have had patients on Sustanon who have undergone liposuction without any difficulty. As long as you are medically cleared for surgery and have no underlying conditions, then having a higher steroid level should not affect your results or healing process. Hope this helps!
Johnson C. Lee, MD
Board-Certified Plastic Surgeon

to date I have never heard any formal recommendation in regards to coming off anabolic steroids for elective surgical procedures. Anti-inflammatory steroid like prednisone or a completely different ball game and there are plenty of scientific articles and literature on how to manage patients taking these medications.  When you take supplements like anabolic steroids your natural testosterone production will drop over time. This is why athletes often cycle. They want to increase and anabolic levels but without shutting down their testis function.  If you been on this dose for a long enough period of time you may have completely shut down your testicular production of testosterone in which case you may be at fairly normal levels on the drug.  Coming off the drug would mean you would be in a hypo or low state of testosterone until your testicles and pituitary gland kick in and reactivate.  That may not be ideal for surgery either but the truth is there's not a lot of good evidence on the impact of either high or low in testosterone levels on elective surgical procedures.  Personally I may have considered keeping you on the medication but taking a thorough history and getting the timeframe is involved and if you've been cycling or on this medications that he stayed for a long period of time would make a big difference.  In the end what matters is what your plastic surgeon and or urologist/ endocrinologist/primary care doctor( whoever is treating and or monitoring you) feels.  Best, Mats Hagstrom MD