Stop Taking Birth Control for Breast Augmentation?

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

Doctor Answers (17)

Breast augmentation and oral contraceptives

+2

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.


Seattle Plastic Surgeon
4.5 out of 5 stars 37 reviews

At least 4-6 weeks before

+1
Birth control pills and estrogen replacement therapy should be stopped for four to six weeks before surgery. The use of these medications has been known to increase the risk of developing blood clots in the legs. However, please ask your surgeon for their advice.

Jerome Edelstein, MD
Toronto Plastic Surgeon
5.0 out of 5 stars 63 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

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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
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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 28 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
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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 28 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 17 reviews

Breast Augmentation and Birth control

+1

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.

LaDawn Talbott, MD
Reno Plastic Surgeon
4.5 out of 5 stars 7 reviews

Stopping birth control pills before surgery

+1

The issue is related to the risk of developing a blood clot in your legs (which can be due to birth control pills or can result after any surgery).

Depending on your risk factors for blood clots, you may want to consider stopping the birth control pills 1 month before surgery. Google Caprini Risk Assessment for more details and discuss with your surgeon.

Karol A. Gutowski, MD, FACS
Chicago Plastic Surgeon
5.0 out of 5 stars 18 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.