RA and surgery

Hi Anna,

There is no specific contraindication to having breast implant surgery, or any other surgery, while on treatment for RA.  However, some medications should be stopped prior to surgery, and for some period after surgery.  GEnerally, we rheumatologists don't recommend stopping methotrexate, but some surgeons still insist on this.  Definitely, the biologic drugs should be stopped prior to surgery (these include Enbrel, Humira, Remicade, Orencia, Rituximab), some as little as two weeks, others as much as eight weeks prior to surgery.  You should discuss this issue with your rheumatologist for recommendations specific for your case.