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I have never had a problem with patients on Methotrexate. It would be best if your psoriasis is under good control before you had the surgery. If you do not have any other medical problems I don't think it will cause a problem provided you go to a well trained competent surgeon. Good luck.
Yes, you can consider having a facelift. There are several studies in the orthopedic surgery literature that show no increase in surgical site infection in methotrexate users, at least in rheumatoid arthritis. Best to discuss with your rheumatologist, though.
Without knowing your age, seeing photos of you, or examining you in person, it is difficult to answer your question with any certainly. I would say that if your face exhibits the classic signs of aging (excess of your upper eyelids, puffiness of the lower eyelids, deepening of your nasolabial folds, jowl formation, neck laxity), you would need preoperative testing and a letter of medical clearance from you internist before having surgery. If your internist cleared you, then you could move forward with your surgery and could look forward to a beautiful result.
Hello melwel14 - Thanks for your question. Taking methotrexate is not a contraindication to having a facelift. You need to work with your surgeon and your rheumatologist to be medically optimized and nutritionally optimized prior to your facelift. I've performed over 2000 facelifts in the last 10 years. In that time, I've successfully taken care of many patients with chronic medical conditions such as cardiac problems, need for blood thinners, and various rheumatologic issues requiring immune suppression. It just requires communication between the members of your healthcare team. I hope this helps. Good luck. Dr. Shah
Methotrexate may affect platelets function thereforeincreasing the chances of bleeding. Ask your doctor if themedication may be stop temporarily and discuss your options with a board certified plastic surgeon.Best wishes.
