From the Research
A Brazilian Butt Lift (BBL) procedure should be avoided in patients with a history of Systemic Lupus Erythematosus (SLE) unless their disease is well-controlled, due to the increased risk of complications such as poor wound healing, infection, and flare-ups of their autoimmune condition. Patients with SLE have a higher frequency of postoperative complications and mortality compared to non-SLE patients, with hypoalbuminemia, anemia, lymphopenia, and aspirin use being independent risk factors for complications 1.
Preoperative Evaluation
Before considering a BBL, SLE patients should have their disease in remission or well-controlled for at least 6 months, typically with medications such as hydroxychloroquine, corticosteroids, or immunosuppressants like mycophenolate mofetil or azathioprine. A comprehensive preoperative evaluation is essential, including:
- Consultation with the patient's rheumatologist to assess disease activity and medication management
- Laboratory tests, including:
- Complete blood count
- Comprehensive metabolic panel
- Specific lupus markers like complement levels and anti-dsDNA antibodies
Surgical Considerations
During surgery, these patients may require stress-dose steroids if they are on long-term corticosteroid therapy. The increased risk of thromboembolism in SLE patients also necessitates appropriate prophylaxis. The fat transfer component of BBL poses additional concerns as the inflammatory response to the procedure could potentially trigger an SLE flare.
Postoperative Care
Postoperatively, close monitoring for signs of infection, delayed healing, or disease exacerbation is crucial, with prompt intervention if complications arise. The management of blood coagulation function in these patients is essential, and careful therapeutic management should be considered during surgery 2.
Key Considerations
- SLE patients have an increased risk of complications following surgical procedures
- A comprehensive preoperative evaluation is essential to assess disease activity and medication management
- Close monitoring and prompt intervention are crucial in the postoperative period to prevent complications.