I often safely combine Breast Reduction and Tummy Tuck. Especially with the use of a Pain Pump which drips Bupivicaine into the Tummy tuck near the area where the muscles are tightened (plication) these two procedures can be performed together and the pain can be well controlled.
Medications which decrease your immune response can effect your recovery and put you at increase risk for infection:
- 1. Plaquanil – No increased risk of infection or delay in healing. You do not need to stop Plaquanil according to most experts
- 2. Steroids such as Prednisone (if you have been on this for a period of months) – Definite effect on healing because it reduces inflammation. This effect can be greatly reduced by taking Beta-Carotene 25000 IU for 1-2 weeks before surgery. Do not continue more than 3 weeks total as Vitamin A can build up in your system
- 3. Sevella – No effect on risk of infection or delay in healing. You should not stop this drug
If you are only on Plaquanil and Sevella you do not need to wean off of these as it serves no purpose and being on them will not affect healing or your risk of infection
Your main concern should be making certain they use sequential compression stockings and TED hose during your surgery and being mobile soon after your surgery to reduce the risk of blood clots.
Make sure also that you and everyone (nurses and doctors) who touches you after the surgery has washed their hands. I know it sounds simple but it works.