Are there any safety precautions or any complications that may arise?
Answer: Ulcerative Colitis and Elective Surgery Liposuction/BBL is not an operation with unique challenges for those with ulcerative colitis. The potential safety and effectiveness of this procedure for you would be assessed at a personalised consultation, and would benefit from the advice of your gastroenterologist. Common recommendations for medications are as follows:Aminosalicylates (sulfasalazine and mesalamine) should be discontinued 1 day before surgery with resumption 3 days after surgery, especially in patients with susceptibility for decreased glomerular filtrationFor patients receiving glucocorticoids, the most relevant issue is to ensure adequate stress glucocorticoid supplementation if requiredPurine analogues (6-mercaptopurine/azathioprine) should be withheld on the day of surgery and resumed in the first 3 postoperative days when oral medications are resumed, if renal function remains normalCyclosporine should be continued in the preoperative and immediate postoperative period, given the existing evidenceMethotrexate should be discontinued 1 week before surgery until at least 1 week after surgery in patients with a history of infectious complications and resumed after successful wound healingImmunomodulator therapy with anti–tumor necrosis factor agents should be continued in the perioperative setting
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Answer: Ulcerative Colitis and Elective Surgery Liposuction/BBL is not an operation with unique challenges for those with ulcerative colitis. The potential safety and effectiveness of this procedure for you would be assessed at a personalised consultation, and would benefit from the advice of your gastroenterologist. Common recommendations for medications are as follows:Aminosalicylates (sulfasalazine and mesalamine) should be discontinued 1 day before surgery with resumption 3 days after surgery, especially in patients with susceptibility for decreased glomerular filtrationFor patients receiving glucocorticoids, the most relevant issue is to ensure adequate stress glucocorticoid supplementation if requiredPurine analogues (6-mercaptopurine/azathioprine) should be withheld on the day of surgery and resumed in the first 3 postoperative days when oral medications are resumed, if renal function remains normalCyclosporine should be continued in the preoperative and immediate postoperative period, given the existing evidenceMethotrexate should be discontinued 1 week before surgery until at least 1 week after surgery in patients with a history of infectious complications and resumed after successful wound healingImmunomodulator therapy with anti–tumor necrosis factor agents should be continued in the perioperative setting
Helpful 1 person found this helpful
April 14, 2018
Answer: Patient safety Hello and thank you for your question. The best advice you can receive is from an in-person consultation. If you are otherwise healthy and can obtain medical clearance from your primary physician, then you could safely proceed forward with a BBL and liposuction. This decision should be based on a detailed discussion with equal input from both you and your surgeon. Make sure you specifically look at before and after pictures of real patients who have had this surgery performed by your surgeon and evaluate their results. The most important aspect is to find a surgeon you are comfortable with. I recommend that you seek consultation with a qualified board-certified plastic surgeon who can evaluate you in person. Best wishes and good luck. Richard G. Reish, M.D. FACS Harvard-trained plastic surgeon
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April 14, 2018
Answer: Patient safety Hello and thank you for your question. The best advice you can receive is from an in-person consultation. If you are otherwise healthy and can obtain medical clearance from your primary physician, then you could safely proceed forward with a BBL and liposuction. This decision should be based on a detailed discussion with equal input from both you and your surgeon. Make sure you specifically look at before and after pictures of real patients who have had this surgery performed by your surgeon and evaluate their results. The most important aspect is to find a surgeon you are comfortable with. I recommend that you seek consultation with a qualified board-certified plastic surgeon who can evaluate you in person. Best wishes and good luck. Richard G. Reish, M.D. FACS Harvard-trained plastic surgeon
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April 13, 2018
Answer: BBL candidate Dear Medina2018,as long as your disease is under control, you should be fine. You will need a clearance from your doctor before the surgery. If you are considering a surgery, I would suggest you to 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
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April 13, 2018
Answer: BBL candidate Dear Medina2018,as long as your disease is under control, you should be fine. You will need a clearance from your doctor before the surgery. If you are considering a surgery, I would suggest you to 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
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