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Liposuction performed with sedation and local anesthesia or local anesthesia alone decreases some of the risks of Addison's disease that exist during induction for general anesthetic. Nevertheless, the operation should be performed with the advise and consent of the endocrinologist.
A person with Addison's disease can have liposuction provided that the disease is well controlled and clearance is given by the managing endocrinologist. The anesthesiologist and surgeon will have to be made aware of this to allow for stress dose steroids, and the healing will be compromised to some extent. Kenneth Hughes, MD Los Angeles, CA