Is it possible to have BA with Mirena in place?

Question

Most PS require to stop all medications including birth control prior to surgery. Is BA still possible with Mirena?

Jeffrey Rockmore, MD · Answer

Thank you for your question.  The concern with birth control pills (BCP) and surgery is the increased risk of deep venous thrombosis (DVT), or blood clots in your legs.  BCP increase this risk, which is especially important in tummy tucks where there are periods on immobility after surgery.  The risk of DVT in breast augmentation is relatively low, and I do not recommend stopping any form of birth control, including Mirena.  I would suggest discussing this further with your plastic surgeon prior to surgery.Best of luck with your breast augmentation.Jeff Rockmore

Curtis Wong, MD · Answer

is not a contraindication in my practice as the risks are extremely low due to rapid mobility augmentation patients experience.  I personally do not require cessation of any birth control and have not had any problems in 20+ years of practice but every patient has a sequential compression device placed at surgery.

Kevin Tehrani, MD, FACS · Answer

I do not require patients to start birth-control methods prior to breast augmentation surgery. Theoretically, there's a higher risk of developing blood clots which is minimally increased after breast augmentation surgery and has never affected any of my breast augmentation patients after performing over 1000 procedures.

Todd B. Koch, MD · Answer

Mirena is a hormonal intrauterine device.  I do not require my patients to have this device removed prior to undergoing a Breast Augmentation

Bruce K. Barach, MD (retired) · Answer

the risk of dvt is low with breast augmentation, and i would not decline surgery under these circumstances. while it is necessary to stop many meds and most herbals, there are certainly other prescriptions that need to be continued through surgery. your surgeon would certainly discuss this in detail at the time of your consultation.

Is it possible to have BA with Mirena in place?

Answers (5)

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