Sarcoidosis and BBL?

Question

Hello I have sarcoidosis is it safe to get a bbl if I have been cleared by my doctors and not on any current treatments for this?

Semih Yildiz, MD, FEPOBRAS · Answer

Being cleared by your doctors is a good start, but it does not automatically make a BBL safe for every patient with sarcoidosis. Sarcoidosis can affect the lungs, heart, skin, eyes, lymph nodes, and other organs, so the important question is whether the disease is inactive and whether there is any lung or cardiac involvement that could increase anesthesia risk.

Before elective BBL, your plastic surgeon and anesthesia team should review records from the doctor managing your sarcoidosis, and may need pulmonary clearance, lung function testing, chest imaging, an EKG or echocardiogram if there is any cardiac concern, and routine labs. If your disease is stable, you are not on steroids or immunosuppressive medication, you have no significant organ involvement, and anesthesia clears you, surgery may be possible. If there is an active flare, breathing limitation, heart involvement, infection risk, steroid dependence, or clotting concern, it is safer to postpone or avoid elective surgery. Also discuss the specific BBL risks, including fat embolism, and choose a surgeon who follows modern safety protocols.

Daniel Barrett, MD · Answer

Dear twest11,
you should be healthy prior to surgery and your medical conditions should be under control. 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, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Mats Hagstrom, MD (license on probation) · Answer

No operation is 100% safe.
Safe is a relative term.
Having underlying medical conditions can increase risk for elective surgery, including cosmetic surgery.
Risk is always relative.
If your medical condition and does not require medical intervention and is currently not creating physiological symptoms for your relative increased risk may be small.
I suggest you discuss this first and foremost with your rheumatologist, then schedule in person consultations with plastic surgeons who have sufficient experience with this procedure to see what each provider has to say.
 The ultimate decision will ultimately be up to the plastic surgeon and you. Different plastic surgeons will have different opinions.
Best,
Mats Hagstrom MD

Sarcoidosis and BBL?

Answers (3)

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