Is HRT Safe During and Before a Full Face Lift?

my present physician , to my surprise, told me i must be entirely off all hrt for both 2 weeks post and pre op to achieve significant results. i have not heard this before ever, from all the doctors i have consulted with.. my condition is closely monitored and hrt is well within normal limits and helps me greatly.my condition is stable.. my pcp or hormone sees no justifiable medical reason to warrent d/c hormones, as they pose an insignificant risk.What are the consensue of opinion out here?

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6 Doctor Answers | Asked by msmmi in sf in Pleasanton, CA

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HRT and Facelifts

Hormone replacement therapy is one risk factor for blood clots. Even though a patient may be low risk, reducing the risk as much as possible is not unreasonable. Kenneth Hughes, MD Los Angeles, CA

Hormone Replacement and Facelift Surgery

Dr. Morgan is correct that HRT has an increased risk of blood clots. There recommendations in place to place patients in to categories(low - high) for blood clots (DVT). If you are healthy and have no previous history of DVT then strategies such as TED hose (like panty hose) and compression devices (squeezes on lower legs) and early frequent walking after surgery can help reduce the chances of DVT developing. Additionally, a healthy suspicion by your PS to monitor for DVT... more

Hormone Replacement Thereapy and Facelift

My patient continue their HRT in preparation of their facelift surgery. Your surgeon may have a good reason for his request - ask him.

HRT

HRT is certainly safe, you have been on a regimen which is monitored and you are stable. That being said you are going to have a surgical procedure, under anesthesia which will last several hours and HRT has been linked to an increased risk of blood clots which begin in the legs, but which can move to your lung a problem called a pulmonary embolus. That is not a problem you want to have. Your plastic surgeon is aware of this and has recommended you stop it. You pcp is... more

Ralph R. Garramone, MD

7 reviews

Fort Myers Plastic Surgeon

Hormone Replacement Therapy (HRT) and Surgery - to stop or not to stop - that is the question

After going through the informed consent process (see below), my experience is that most of my patients continue to take Hormone Replacement Therapy (HRT) during their surgery . I do recommend that high risk patients (see below) stop HRT prior to surgery. Knowing your risk vs benefit information is the key to making the right decision. Like all medical decisions an informed consent is needed with your surgeon and/or other physicians most knowledgeable about Hormone Replacement... more

HRT and face lifts

HRT should not affect your face lift results. It can affect your safety. Blood clots are more likely when you are on HRT. Rarely they will damage your breathing or even be fatal. I ask all my patients if possible to stop HRT for 2 weeks before/after - because blood clots in the legs are known to rise after 2 hours of anesthesia. A face lift will take longer than that. I don't require it unless a patient is at a higher risk for blood clots (e.g. smokes and takes HRT) or... more