Can an individual with ulcerative colitis undergo liposuction and BBL?

Question

Are there any safety precautions or any complications that may arise?

Michael Kreidstein, MD, FRCS(C) · Answer

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

Richard G. Reish, MD, FACS · Answer

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

Daniel Barrett, MD · Answer

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

Can an individual with ulcerative colitis undergo liposuction and BBL?

Answers (3)

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