Is it ok to have a tummy tuck/ breast lift or augmentation if you have Rheumatoid Arthritis?

Question

I am currently on Mexatrexate 6 pills weekly. I was diagnosed in 2017. I've wanted a mommy makeover for a while now and finally can. I just want to make sure I have all answers I need before I get it one.

Farbod Esmailian, MD · Answer

You would need to be off your methotrexate before and after your surgery for a period of time while you are healing.  The methotrexate will interfere with your bodies healing ability.I would discuss this with your rheumatologist and your plastic surgeon.  They will have to both be on the same page.Hope that helps.

Emmanuel De La Cruz, MD · Answer

Having Rheumatoid Arthritis (RA) doesn't automatically disqualify someone from undergoing cosmetic procedures like a tummy tuck, breast lift, or augmentation. However, it's essential to approach these surgeries with careful consideration and consultation with both your rheumatologist and a board-certified plastic surgeon.

Rheumatoid Arthritis is a chronic inflammatory condition that affects the joints and can have systemic effects on the body. When considering elective surgeries, especially ones that involve anesthesia and recovery periods, it's crucial to assess how RA might impact the procedure and recovery.

Here are some key points to consider:

Overall Health: Your overall health and the activity of your RA will be essential factors in determining your candidacy for surgery. Your rheumatologist can evaluate your current condition and advise on whether it's safe for you to undergo elective procedures.

Medications: Some medications used to manage RA, such as immunosuppressants or corticosteroids, might affect the body's ability to heal after surgery or increase the risk of complications. It's crucial to discuss your medications with both your rheumatologist and surgeon.

Surgery Risks: Individuals with RA might have a higher risk of certain complications, such as infections or delayed wound healing, following surgery. Your surgeon will need to be aware of your medical history and work in tandem with your rheumatologist to mitigate risks.

Recovery Considerations: RA might affect your post-operative recovery. Reduced mobility or potential flare-ups can impact the healing process. Your surgeon might adjust the surgical plan or post-operative care to accommodate these factors.

Inflammation Management: Controlling RA symptoms and inflammation before surgery is essential. Your healthcare team might recommend specific measures to manage inflammation and reduce the risk of post-operative complications.

Always be open and transparent about your medical history, including RA, with your healthcare providers. They will collaborate to assess the risks, make necessary adjustments, and ensure the safest approach to cosmetic procedures while considering your RA condition and overall well-being.

Pejman Aflaki, MD · Answer

Hello
and thank you for your question. Generally speaking,
a stable medical condition, adequately treated, should not prevent
you from getting a mommy makeover. I would suggest that you see a board-certified
plastic surgeon for a more complete evaluation. Your plastic surgeon may want
to consult your primary care doctor or rheumatologist in order to determine
your candidacy. 
Best,
Pejman
Aflaki, M.D.
Johns
Hopkins-trained double board-certified plastic surgeon

Kenneth Hughes, MD · Answer

Yes.  Sometimes medication regimens can be altered to reduce the risks.  This will depend upon your overall state of health. If clearance can be obtained from your rheumatologist, the surgeries can be performed.

Nelson Castillo, MD · Answer

Thank you for sharing your question.  yes it is possible to still have a MMO with a history of RA but temporary adjustments to your medications will be required first.  Your rheumatologist and plastic surgeon should have extensive discussions about how best to manage you.

Susan D. Vasko, MD, FACS · Answer

Thank you for your question, As long as you get surgical clearance from your rheumatologist, you should be able to move forward with surgery. Be sure to see a board certified plastic surgeon and to discuss all your medical history.

Payman Danielpour, MD, FACS · Answer

Thank you for your question.This is better answered by your internist or rheumatologist.  If they clear you for surgery there should not be a problem.

Daniel Barrett, MD · Answer

Dear LisaW2281,
most plastic surgeons had patients with RA. You will need to get a clearance from your doctor prior to 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

Heather Vande Ven, DO · Answer

Whether it’s okay to have a tummy tuck, breast lift, or augmentation with Rheumatoid Arthritis (RA) would depend on your individual health and the advice of your healthcare provider. Rheumatoid Arthritis can affect your body’s ability to heal and may increase the risks associated with surgery. It’s crucial to discuss your medical history, current condition, and treatment plan with a skilled surgeon and rheumatologist to assess the potential risks and benefits of these procedures in your specific case.

Timothy A. Janiga, MD, FACS · Answer

I would discuss with your rheumatologist prior to considering surgery and get their input.  You would need to get clearance before proceeding with surgery.  MTX in general does not increase the risk of wound healing problems but does increase your risk of infection.  If you take other medications such as a steroid you would have a much higher risk of both complications.  I have operated on many patient's with RA and they have done well but are at a higher risk of post-operative complications.  Take care.Timothy A. Janiga MD, FACS

Is it ok to have a tummy tuck/ breast lift or augmentation if you have Rheumatoid Arthritis?

Answers (16)

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