Sinus Infection Before Breast Augmentation and Liposuction

Question

I had to go to a doctor today and was prescribed amoxicillin and allegra-D for my sinuses.   Today is Monday, April 12th and my surgery is scheduled on April 21st.   Will I be able to have the surgery? I don't feel that bad, but know it's more about the medications than how I feel.

Armando Soto, MD, FACS · Answer

Hi there-

	I agree with my colleagues... Aesthetic Surgery, because it is elective by definition, should (in my opinion) never be performed under conditions that would improve with treatment of an existing condition.

	In other words, I always want my patients to be as healthy as they can get before proceeding, and this is especially true any time I am going to be placing an implant.

	Be sure you are at your best at the time of surgery- your risks will be lower and your chances of having a smooth recovery and great outcome higher.

Brian K. Reedy, MD · Answer

Thanks for your question!
You should be fine for surgery but check with your surgeon on his/her guidelines concerning the medications.  Best wishes!

Earl Stephenson, Jr., MD, DDS, MBA · Answer

There seems there might be enough time to treat your sinus infection but sometime it may take up to 3 weeks to effectively treat your sinusitis.  You are investing a lot of time and money for your aesthetic surgery.  It is best to make sure that you have completely treated so that can set the best stage for an optimal outcome of your aesthetic surgery.
Dr. ES

Richard Baxter, MD · Answer

Any active infection may place you at greater risk for problems with implant surgery. While you may be ok given the time frame, it is definitely something to discuss with your plastic surgeon. The inconvenience of having to postpone the surgery may save major problems down the road.

Otto Joseph Placik, MD · Answer

This is clearly a matter of opinion, but it is generally my advice to defer surgery in any cases of active bacterial infection. Generally, this would consist of 10 days of antibiotics followed by another 7-10 days of no symptoms.

Kenneth D. Steinsapir, MD · Answer

This is exactly the type of information you need to share with your surgeon.  The surgeon is the captain of the team and the person who will be responsible for the outcome of your surgery.  How will you feel if you withhold this information from your surgeon and your breast implants become infected after surgery and need to be removed?  You will not be happy and you will have no one to blame but yourself.  
Let your surgeon know what is going on so they can make an informed decision regarding this issue with you.  Although it may be inconvenient, it is better to postpone your surgery if necessary.  It is better to be safe than sorry.  Will it be necessary to postpone the surgery, this is only something your surgeon can determine after analyzing your personal health information.

Tom J. Pousti, MD · Answer

I am sorry to hear about your concerns prior to your day of surgery. Generally speaking, patients undergoing elective surgery should be at their optimal (or close to) level of health prior to proceeding. It is especially important that there be no compromise of pulmonary function or active source of infection present.
Your plastic surgeon will be the only relevant resource when it comes to determining what medications you can take prior to surgery and your ability to proceed at this time.
Best wishes.

Michael A. Jazayeri, MD · Answer

Any infection in the body may potentially cause "leaking" of bacteria into the blood stream.  You may not feel sick, but even a small amount of bacteria may attach to the breast implant or any part of the body which is traumatized from surgery and cause an infection.  Believe me, an infected breast implant is not fun and the deformity caused by the infection may not be correctable.
My advise is to make sure there is NO infection in the sinus before surgery.  Usually that is done symptomatically and by CT scan of the sinuses.

Steven Wallach, MD · Answer

If you have a sinus infection that has not improved prior to surgery, then you are better off postponing the surgery until you have healed.  Better to wait.

Peter E. Johnson, MD · Answer

If you suffer from a cold or flu, or have a sinus or urinary tract infection, why take a chance with your breast augmentation? It seems  much better to wait the week or two until you are in good health. The risk may be small but why take it. Your procedure and recovery should be better as well.
Best of luck,
peterejohnsonmd

Sinus Infection Before Breast Augmentation and Liposuction

Answers (17)

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