Stop Taking Birth Control for Breast Augmentation?

Should people stop taking Birth Control if they are going to get a breast augmentation?

Doctor Answers (16)

Breast Augmentation and Birth control

+2

We know that patients who are on birth control have a slightly higher risk of developing blood clots in the leg veins.  This risk is significantly increased  in smokers.  When these blood clots travel to the lung it is called a pulmonary embolus and can be fatal. 

I do not routinely recommend that patients stop taking their birth control pills prior to breast augmentation.  This is typically a short procedure and patients are ambulatory immediately after surgery.  The risk of blood clots in these patients is lower than the risks that come with an unwanted pregnancy.  If other procedures are being performed, such as a tummy tuck, or there is a longer operating time, I recommend the birth control pills be discontinued before surgery, particularly if they have a smoking history.  The risk of blood clots in these patients are much higher.


Reno Plastic Surgeon
4.0 out of 5 stars 6 reviews

Birth control pills and plastic surgery

+2

Taking birth control pills around the time of surgery may slightly increase the chance of blood clot formation.

The patient and doctor must decide whether the risk warrants going off the birth control pills, including the downside of bleeding for three months, face breaking out, mood changes, etc. etc. etc. that many women experience when they alter their birth control regimen.

While postmenopausal hormone supplements (including bioidentical in my opinion) would predispose to blood clot formation and we do strongly recommend patients discontinue them, we would consider birth control pills a softer factor.

We allow the patient to make that decision after giving the options to her.  Like so many things in medicine, there are pros and cons to most issues.

Brent Moelleken, MD
Beverly Hills Plastic Surgeon
5.0 out of 5 stars 90 reviews

Breast augmentation and oral contraceptives

+1

A breast augmentation is a short surgical procedure with little increase in risk of VTE events. It is probably not necessary to stop these medications in the peri-operative period. However, if breast augmentation is combined with other procedures and operative times are prolonged beyond three hours, its wise to stop the OCPs.

Scott C. Sattler, MD, FACS
Seattle Plastic Surgeon
4.5 out of 5 stars 32 reviews

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Birth Control Pills and Surgery

+1

Hi there-

As you can see, opinions vary...

The bottom line... For short procedures in a patient with no elevated risks, there is no reason to stop your contraceptives.

If you have a reason to have an elevated risk for blood clots, or the procedure is longer than an hour or so, or if you simply want your risks to be as low as is possible, I would recommend stopping them.

Armando Soto, MD
Orlando Plastic Surgeon
5.0 out of 5 stars 97 reviews

Stop Birth Control Pills for Breast Augmentation?

+1

I do not recommend stopping birth control pills for breast augmentation surgery, but I always use sequential compression stockings on my patients during surgery to prevent any risk of blood clots. 

Daniel J. Casper, MD
Los Angeles Plastic Surgeon
5.0 out of 5 stars 7 reviews

Birth Control Pills and Breast Augmentation

+1

In general, I do not have patients stop oral contraceptives before doing a short operative procedure like a breast augmentation if the patient is healthy and has no risk factors like a previous blood clot or other medical problems.

However, if the patient is having other/additional  operative procedures which prolong the operative time to greater than 4 hours and/or has other risk factors, one should consider stopping the birth control pills for at least one month preop to decrease the chances for a blood clot

Rod J. Rohrich, MD
Dallas Plastic Surgeon
5.0 out of 5 stars 15 reviews

Stop birth control pill before Breast Augmentation.

+1

There is not a clear recommendation to stop oral contraceptive medication before breast augmentation surgery. The risk of DVT ( deep venous thrombosis) in a breast augmentation patient that is young, healthy, and does not smoke is extremely low.  However, there is a very small increase in the risk of DVT in patients who take birth control pills. Therefore some surgeons may  recommend  stopping  the pill 15 to 30 days before breast augmentation in an effort to lower this small risk of DVT even further. 

 

Jaime Perez M.D  Plastic Surgery Center of Tampa

Breast Augmentation Surgeon

Jaime Perez, MD
Tampa Plastic Surgeon
5.0 out of 5 stars 24 reviews

Birth control pill and breast implant augmentation surgery

+1

I assume there are two reasons for this concern: 1) alteration in breast size  and 2) possible risk of DVT. In general, this is not a common practive in an uncomplicated bilateral augmentation mammaplasty.

Otto Joseph Placik, MD
Chicago Plastic Surgeon
5.0 out of 5 stars 41 reviews

Birth control Pills and Breast Augmentation

+1

Even the experts don't agree on this question!  Since breast augmentation is a short procedure, and patients are rapidly up and about afterwards, I don't typically ask my patients to stop their birth control pills.  However, if you are in a high risk group for a DVT (and there are a number of known factors), then it should be definitely considered as a risk-reduction strategy.

Thomas Fiala, MD
Orlando Plastic Surgeon
5.0 out of 5 stars 25 reviews

Birth control pills and breast augmentation

+1

There is a an associated risk reported when patients take birth control pills and have surgery. This risk may be related to developing deep vein thrombosis.  Some surgeons would recommend stopping them before surgery, and others do not.

Steven Wallach, MD
Manhattan Plastic Surgeon
4.5 out of 5 stars 15 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.