Can I get a BBL with sciatica nerve damage?

Question

I’ve had sciatica for a year now, I have tingles all around my butt as well ass lower back and legs. I didn’t have this issue earlier in the year but when I was released from physical therapy I was cleared to exercise but I had an episode and needed injections and tingles began. I will be getting labs done as well as scans to check this month. I decided against lipo on back but still worry about whether it can cause complications or further damage. Aug 2022 last “episode,” bbl is in oct 2022

Alan Gonzalez, MD, FACS · Answer

Hello @tyty82, thank you for your question. It is important that the physician who is treating the sciatica gives you his or her opinion regarding surgery. It is imperative to determine the type of inflammation, if there is nerve compression, since fat can put pressure on the area. For more information and recommendations is best to consult with one or several board certified plastic surgeons. Best wishes! Alan Gonzalez MD, FACS.

Emmanuel Mallol Cotes, MD · Answer

Thank you for your question. For safety reasons, to be a good candidate for the procedures you want at the same time, your labs and the specialists preoperative evaluation must be optimal.

Kind Regards,
Dr. Emmanuel Mallol Cotes.-

Caner Kacmaz, MD · Answer

Hello and thank you for your question. I would suggest you get examined first by your plastic surgeon. Generally speaking, you can get BBL even if you have sciatic nerve damage. Thank you and good luck.

Daniel Barrett, MD · Answer

Dear Luminous715722,
it is hard to tell for sure without an examination. Sciatic nerve damage is not a contraindication for BBL surgery. 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

Darryl J. Blinski, MD · Answer

Maybe? Best to virtual consult with... I would request a written clearance from your neurologist or pain doctors. Also without posting photos very hard to approve you for surgery.

Mats Hagstrom, MD (license on probation) · Answer

Sciatica symptoms often come from the nerve roots as they exit the spinal cord and can get compressed from spinal pathology like arthritis or a bulged disc. The nerves and spine are well protected with thick layers of muscle and fascia and will not be influenced by Liposuction in that area. there are no guarantees in medicine and doctors during their training are often told never to say never and never say always.
Having correct Liposuction for your procedure which should include Liposuction of your torso including the backside is the right way to go and the chance of this aggravating you are sciatica is extremely unlikely. Being left with an abnormal fat distribution is not a good idea in my opinion. You didn’t include pictures so there’s no way to make an assessment in regards to your candidacy for the procedure or how the procedure should be performed. I do not recommend altering the way something should be done the based on theoretical worries on something that is extremely unlikely to ever happen. in reality the biggest risk of the BBL procedure is being left disfigured from patients not sufficiently vetting plastic surgeons correctly and choosing the wrong provider.
And the hands of the right provider it will be guided towards what is the best way to move forward and get a clear understanding of the procedure and everything you need to know about it.
The following is a previously compost set of personal thoughts and recommendations for those seeking liposuction and fat transfer.
Perhaps you’ll find some of the information useful.
Delivering consistent high-quality liposuction and fat transfer results is more difficult than most people believe in this is true for both patients and plastic surgeons. Most plastic surgeons think they are better at liposuction than they actually are. Liposuction and fat transfer has more variance or difference in outcome purely based on who does the procedure than any other surgical procedure I’ve ever seen. Being board-certified in plastic surgery with an overall good reputation is not sufficient to guarantee that somebody has mastered body contouring with liposuction and fat transfer. Personally I view the torso as a single anatomic unit and either treated the entire torso or don’t do Liposuction. There are of course exceptions but for the most part I believe in treating the entire torso. A full torso includes upper abdomen, lower abdomen, love handles all the way down to the hip dips, waist, the entire back and under arm area all the way to the side of the breast. this leaves people with a natural thin fat distribution without transition zones between treated and entrteded areas. I’ve viewed the BBL as an enhancement to body contouring creating an ideal feminine S-curve that goes from the armpit to the knee. I did not emphasize a large buttocks with liposuction of the outer thigh creating a big round butt on the small leg which I sometimes called the “lollipop look”. Instead I emphasize long smooth harmonious curves creating a slightly hyper feminized balanced figure. To find the most talented and experienced provider in your community I suggest having multiple in person consultations. I do not recommend patients travel for elective surgical procedures and I recommend patients whenever possible avoid virtual consultations. During in person consultations ask each provider to show their entire collection of before and after pictures of BBL results. Always confirm that after pictures were taken at least three months from the time of surgery. anybody who shows early postoperative pictures such as pictures with patients still showing surgical drawings on them, being in the operating room or any evidence of recently having had surgery should be immediately discounted as showing “.fake news”. Early fat transfer results can look very impressive but do not at all represent final results. Ask the provider to show you examples of excellent outcomes, average outcomes and less than outcomes. Specifically ask each provider to show as many pictures as possible‘s of patients who have similar body characteristics to your own. An experienced provider should have no difficulty showing you a minimum of 50+ sets of before and after pictures. Simply seeing a handful of pre-selected sample pictures which in reality most likely represent the best results of that providers career is insufficient to get a clear understanding of what average results look like for that provider. Highly experienced providers will have hundreds or even thousands of before and after pictures and should be willing to give you access during the consultation to see as many pictures as possible. If somebody claims to of done a lot of surgery but doesn’t have a lot of before and after pictures then you should ask yourself why? Do not commit to surgery or pay a down payment during the time of consultation until you’ve finished all your consultations and have given yourself plenty of time to think about your decision. The results from these procedures are permanent and irreversible. When in doubt slow down and schedule more consultations. Finally I recommend patients read all reviews on all various physician review websites avoiding providers for any significant number of justified negative reviews. The absence of justified negative reviews is more important and more telling and having an abundance of positive reviews. Plastic surgeons with the biggest social media profiles are not necessarily any more talented than those who have no websites at all. Famous or likable does not equal talented. Find the right plastic surgeon and everything falls into place. 
Good luck, 
Mats Hagstrom MD

Can I get a BBL with sciatica nerve damage?

Answers (6)

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