Can I get a breast lift while I'm on immunosuppressants?

Question

I take infliximab (inflectra) every 5 weeks for ulcerative colitis, i dont currently have any symptoms and i take azathioprine for autoimmune hepatitis. If both conditions are stable would i be suitable to get a breast lift surgery?

Daniel Barrett, MD · Answer

Dear Candice09876,

immunosuppressants can cause issues with wound healing. 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, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Leila Kasrai, MD, FRCSC · Answer

It would be a good idea to discuss this first with your primary care physician, as they would be in a better position to give you an opinion.

Jeffrey M. Darrow, MD · Answer

Your best answer to whether you can have surgery while taking these two immunosuppressant medication’s would be answered by your immunologist. It is likely that you would be able to have surgery as, as you can imagine, there are other patients who are on these medications who require surgery and they can be managed well. This is best managed with good communication between your plastic surgeon and your immunologist and proper precautions taken based upon the potential effects of the medication‘s on your immune system and healing. Best wishes.

Ajaya Kashyap, MD · Answer

Thank you for your query. When someone who is on immunosuppressants and needs a breast lift , I usually prefer minimal scar techniques, keep the sutures for longer than usual and also keep them on antibiotics for a longer duration. You should be able  get a breast lift. Please find an experienced board certified Plastic surgeon who can examine you and help you with all your concerns. All the best!

Ronald J. Edelson, MD · Answer

I suspect it would be fine but you should clear it with the doctor who manages your Crohn’s disease.  There may be an issue if you are getting implants

Ted Eisenberg, DO, FACOS, FAACS · Answer

I recommend an in person consultation with a plastic surgeon who is willing to conference your health and goals with your managing doctors. There are increased risks of complications and delayed wound healing with these medications. Dr. Ted Eisenberg, Board Certified Plastic Surgeon and Author. RealSelf Distinguished Hall of Fame Inductee. Philadelphia, Pa., USA

Camille Cash, MD · Answer

Immunosuppressants like infliximab need to be stopped for a few weeks prior to surgery for your safety.  I encourage you to speak with your treating physician about your interest in a breast lift.  If given clearance you can schedule a consultation with a board certified plastic surgeon near you.  Be sure to discuss all medications that you take including prescription, over the counter, and supplements.

James Knoetgen, III, MD · Answer

Having a breast lift (mastopexy) while on immunosuppressants like infliximab (Inflectra) and azathioprine requires careful consideration due to the increased risk of complications such as: 
•	Infections – immunosuppressants lower your ability to fight infections, making post-surgical infections more likely. 
•	Delayed Wound Healing – medications like infliximab and azathioprine can slow down wound healing, increasing the risk of poor scarring or wound breakdown. 
•	Increased Risk of Blood Clots – some autoimmune diseases and surgeries elevate the risk of clotting. 
•	Anesthesia Considerations - your overall immune function and liver health (due to autoimmune hepatitis) may impact how your body responds to anesthesia. 
Are You a Candidate?
Since your conditions are stable, you might be a candidate, but it depends on: 
1. Your Surgeon’s and Specialist’s Opinion – A plastic surgeon will assess your risk factors, and your gastroenterologist/hepatologist should approve the surgery. 
2. Medication Adjustments – Some surgeons may recommend pausing or adjusting immunosuppressants pre- and post-op reduce infection risks, but this must be done carefully with your specialist. 
3. Your Healing History – If you’ve had good healing after minor cuts, biopsies, or other surgeries, it’s a good sign. 
Next Steps: 
•	Consult your GI/hepatology team to discuss surgical risks specific to your case. 
•	Find a board-certified plastic surgeon with experience in patients on immunosuppressants. 
•	Consider a detailed pre-surgical plan, including infection prevention and wound care.

Connie Hiers, MD, FACS · Answer

You would need to have medical clearance for surgery and normal blood counts.  You would also need to be at least 2-3 weeks away from taking Infectra. Please discuss this first with your medical physician.

Can I get a breast lift while I'm on immunosuppressants?

Answers (9)

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