Should I Stop Taking HRT Before Breast Implants?

i'm currently taking 6mg and wondered if i'd need to stop my hormone replacement therapy if having breast implants?

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8 Doctor Answers | Asked by sarahleighlove in UK

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Stopping HRT before a Breast Augmentation

Estrogens are associated with a higher rate of blood clot formation (DVT) in the deep veins and migration to the lungs (Pulmonary embolus). If cessation can be easily achieved and tolerated - go a head and do it but only under medical supervision. If it is cumbersome, I would not do it since a breast augmentation is not a long case and has a low likelihood of blood formation and emboli. Dr. P. Aldea

Stop HRT before breast implants.

Hi. HRT increases the risk of blood clots. So, in Manhattan, we tell patients to stop before breast implants. The increased risk is small, but why take any avoidable chance.

Hormone Replacement Therapy (HRT) or Birth Control Pills (BCP, Oral contraceptives) & Plastic Surgery & Clot

Any surgery involves assessing the risks and the benefits of the procedure. Surgery, particularly long operations or ones involving the abdomen and/or pelvis are associated with a higher risk of blood clots. HRT & BCP are also associated with a higher risk of clotting. Combining these two may lead to a particularly higher risk of Clots called Deep Vein Thrrombosis (DVT) with possible spread to the Lungs called a Pulmonary Embolus (PE). I generally advise patients to consider... more

Otto Joseph Placik, MD

33 reviews

Chicago Plastic Surgeon

HRT can be continued before breast augmentation

Although stopping HRT prior to breast augmentation surgery is not a necessity, cessation of this medication can help decrese the small risk of developing a blood clot (DVT) or a migration of a blood clot to your lungs (PE). I agree with my colleagues that prior to stopping HRT, check with your prescribing physician and dicontinue the medication only under their direct supervision. Other medications that should be avoided are ones that can cause bleeding (blood thinners, aspirin, herbal... more

Hormone therapy and breast implants

Hormone therapy can increase the risk of blood clots that develop in the legs and that can cause a pulmonary embolus. It may be a good idea to review this treatment with your medical doctor to see if this can be stopped safely for a few weeks before surgery and restarted a few weeks after...

Steven Wallach, MD

12 reviews

Manhattan Plastic Surgeon

HRT and Surgery

Many things increase the risks of surgery. HRT is one of them. What we, as surgeons, do when advising you, our patients, is look at relative risks. If you are young, are having only a breast augmentation as an outpatient, and have no other risk factors that would increase your chance of having a blood clot in your legs, then your risk for such is still very low. In that case, we would manage you with only compression devices on your legs during the perioperative period. If you have other... more

HRT and breast augmentation

I would not recommend stopping your medication without speaking to the physician who prescribed it. In general we allow patients to stay on all medications unless they are associated with bleeding. Good luck.

Discuss HRT meds with your surgeon

As usual, Dr Aldea is 100% correct. But this is a question for your operating surgeon to address. Please obtain a good informed consent before having any surgery. Regards from Miami