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Breast Implants Safe After Thyroid Ablation?

I'm 31 years old and a mother of 3 children. After the birth of my last child, I got Graves Disease. I tried for remission on an anti-thyroid drug, but I did not obtain it. I'm scheduled to have my thyroid ablation on Nov. 6th. I'm also scheduled for breast augmentation on Nov. 23rd. I'm very excited about both procedures. Is it safe for me to have surgery after the ablation? And, I will be using the IV sedation with the augmentation which is only about 45mins. Will my hormones react to anesthesia?

Asked 28 months ago by enough3 in North Myrtle Beach
Sort 7 expert answers by:
+3

Wait to have breast augmentation surgery until your health is stable

Congratulations on your decision to have breast augmentation! As long as it is done for the right reasons, in an appropriate candidate, and by a Board-Certified Plastic Surgeon, and at the appropriate time, breast augmentation is a wonderful procedure with fabulous results! However, when you are actively treating any complex medical condition such as Graves Disease (overactive thyroid), you should postpone elective surgery until your medical situation has stabilized. Radioactive ablation... more
Karen M. Horton, MD
San Francisco Plastic Surgeon
+1

Postpone your breast augmentation.

Hi. I don't think you should have any elective surgery for several months after your thyroid ablation.  You need to recover from the thyroid surgery, and you need to be sure that you have normal, stable thyroid hormone levels with medication.
George J. Beraka, MD
Manhattan Plastic Surgeon
+1

Breast surgery and thyroid ablation

YOu should review the care with all doctors. If they approve of you having surgery , then you will need medical clearance.  You really want to get your medications stabilized first before you go ahead with any elective surgery.
Steven Wallach, MD
Manhattan Plastic Surgeon
+1

This is complicated

I would recommend strongly that you discuss your ELECTIVE surgical plans with all doctors.  It may be wise to hold off on the BAM until your hormone levels are stable and well regulated.  The thyroid plays a roll in metabolism, including healing.
Scott E. Kasden, MD
Dallas Plastic Surgeon
+1

Thyroid ablation and breast augmentation

Thyroid ablation is a hormonal insult to your body and its metabolism.  It can take some time to adjust to this and get back on an even keel so I agree with the others who believe your augmentation should be postponed for a few months until you are totally stable and have your strength back. 
Richard P. Rand, MD, FACS
Seattle Plastic Surgeon
+1

Breast Augmentation shortly after thyroid ablation

I totally agree with Dr. Horton. Surgeons are often taught to think and learn to react as do pilots. Furthermore, just like pilots are not supposed to take off in a storm or take stupid chances with their passengers -- neither are we supposed to do the same with our patients. What a loss of both engines may be to a pilot, we have the several classical similar "scary scenarios" such as malignant hyperthermia, ventricular tachycardia/ cardiac arrest AND thyroid storm-the sudden... more
Peter A. Aldea, MD
Memphis Plastic Surgeon
+1

Breast augmentation with thyroid condition

That is a good question. There may be some concerns with a potential thyroid storm - which is a sudden release of thyroid hormones after radiation. This is not a plastic surgeon's area of expertise and I would make sure that your radiation therapist, endocrinologist and anesthesiologist are all aware of your plans for the surgery to follow the radiation therapy.
Otto Joseph Placik, MD
Chicago Plastic Surgeon
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