Am I a candidate for BBL with Raynaud's because of epinephrine?

Question

In 2015 I was scheduled to have bbl surgery in another state. Once I arrived, the surgeon realized I had raynauds and said I wasn’t a candidate because epinephrine constricts then blood and I had raynaud's. Has any surgeon done bbl with a patient who has raynaud's?

Daniel Barrett, MD · Answer

Dear nsoto9172017,
it is hard to tell for sure without an examination. You will need to get a clearance from your doctor prior to surgery. If you are considering surgery, I would suggest you 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

Darryl J. Blinski, MD · Answer

You might be an acceptable candidate with a written medical clearance from your Raynaud's MD. In cases as yours I dilute the epinephrine to a much lower dosage. Fees from $8,000.

Arian Mowlavi, MD, FACS (license on probation) · Answer

Granted you have been given medical clearance by your primary doctor, you are eligible for a Brazilian Butt Lift. If you are a good candidate (less than 5L of fat) for a Brazilian Butt Lift (BBL), the optimal outcomes are achieved with: 1) use of VASER liposuction to harvest the fat, 2) a closed looped system such as Puregraft to process the fat, and 3) strategic micro-packet transplant technique. These three processes have demonstrated over 95% fat graft take. This means that your results will be stable as long as you maintain your weight. As an official VASER trainer, I am routinely referred unhappy BBL patients. One of the most common reasons for disgruntled BBL patients is that patients are not able to accurately communicate their desired buttocks goals to their surgeons.  A buttocks assessment tool can be an invaluable tool to communicate to your surgeon the exact buttocks size and shape you are desiring. A Skype or FaceTime consultation with a BBL specialist can help you get an accurate recommendation and pricing.

Respectfully,
Arian Mowlavi MD,FACS
Realself 100 Hall of Fame Inductee

Mats Hagstrom, MD (license on probation) · Answer

It is true that epinephrine containing drugs are contraindicated and hand surgery for patients with this condition.

When injected as part of numbing solution for liposuction different Afrin is absorbed slowly but systemic amounts I’ve definitely moderately high during and immediately after the procedure.

FNF friend has cost patients with Renards to have finger necrosis requiring amputations in the past so your surgeon stayed on the safe side.

We don’t have good literature on the incidence or correlation with Epinephrine used in Liposuction on patients with Raynaud’s but I would think that the degree of the patient’s symptoms would have a lot to do with the decision of doing the procedure or not. Likewise each surgeon will have their own view on this. Some patients have very mild forms of your condition while for others it can be debilitating and patients with severe symptoms who may have already had fingertip necrosis due to cold weather are probably wise to step away from procedures requiring high doses of epinephrin.

Mats Hagstrom MD

Am I a candidate for BBL with Raynaud's because of epinephrine?

Answers (4)

Answer: Epinephrine containing drugs

Answer: Epinephrine containing drugs

Recommended reading

Everything you need to know about Brazilian Butt Lift

Our mission is to create a world where every investment in modern beauty is Worth It.

Am I a candidate for BBL with Raynaud's because of epinephrine?

Answers (4)

Answer: Epinephrine containing drugs

Answer: Epinephrine containing drugs

Browse related questions

Recommended reading

Everything you need to know about Brazilian Butt Lift

Our mission is to create a world where every investment in modern beauty is Worth It.