Breast Augmentation: Q&A

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Medications to Avoid 1 Week Before and After Breast Augmentation?

I'm currently using the following medicines. Do I need to stop using them 1 week before/after breast augmentation?

(1) Latisse (bimatoprost ophthalmic solution 0.03%) that I apply on my eyelids

(2) Triple Antibiotic Ointment that I apply on two wounds on my ankles (bacitracin zinc, neomycin, & polymyxin-B ointment)

(3) Acne cream that I apply on my face.

Currently, I have many inflammatory acnes on face that are red and swollen with pus. I also have 2 wounds on my ankle ~size of a quarter. Will it increase likelihood of surgery infection or capsular contracture? Is there anything I should do to prevent complication?

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7 Doctor Answers | Asked by Rita_ in San Francisco

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Capsulrar Contracture Causes

Rita, Your questions relevant to capsular contracture are too advanced for plastic surgeons of our time. At least at the Dallas Plastic Surgery Institute, we uniformly don't truly know the cause of capsular contracture. All of us have done quite a bit of research on the topic in our own institutions all over the country. One of the theories is infectious and another is immunologic and not of infectious origin. There´s no iron clad proof for or against any claim that either of these... more

Medications to Avoid For Breast Augmentation

The medications you have listed are ok before and after surgery. But what concerns me most is what you describe as wounds on your ankles. I would want to know what they are from and how long you have had them, who is treating them and are they healing. I generally would not place implants in a patient who has an open wound. It is not worth the risk and I would recommend you wait until the ankle wounds are closed.

Breast augmentation and chance of developing capsular contracture

Breast Augmentation is an ELECTIVE Surgery (you choose WHEN to do it (IE next Tuesday). It is not EMERGENT like a stab wound or ruptured appendix). It is COSMETIC (it is not necessary -- it is done to improve your appearance -- not your function). As such, the intolerance threshold for potential complications, in my opinion, should be very low. We should seek to make sure as much as we can that we reduce or eliminate known risks for a surgery that is NOT needed. Capsular Contracture, bad... more

Peter A. Aldea, MD

35 reviews

Memphis Plastic Surgeon

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Medications to stop prior to breast surgery

There are no absolutes here. Cystic acne is not the same as cellulitis. However, there are some vague and anecdotal reports of capsular contracture following even tattoo sesssions. Even if your acne is controlled peri-ioperatively, it is likely that you will have ongoing eruptions. To the best of my knowledge, acne and capsular contracture are not related. The medications you have described are reasonable to continue but you should verify with your plastic surgeon

Breast augmentation medicines to avoid

I prefer that patients avoid all sorts of blood thinning medications like aspirin and NSAID's. If you have bad acne that is active, or open wounds on your legs, you may want to consider holding off your surgery until everything heals.

Steven Wallach, MD

13 reviews

Manhattan Plastic Surgeon

Some medications should be avoided before breast augmentation

Breast augmentation is a safe procedure for any healthy individual, though prescription medications are not a problem, all should be reviewed with your surgeon well before an augmentation procedure. Bleeding is a concern, and therefore we ask all patients to stop taking any aspirin or aspirin containing medications two weeks before. This also includes NSAID's or non steroidal anti-inflammatory medication such as Advil and Alieve which should be stopped as well. Finally we review vitamins... more

Wounds and risk of infection

You should have no open wounds when you have breast augmentation surgery. The risks of infection will be increases. You can take the medications you have indicated. Your acne should be under relatively good control prior to your surgery.

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