Coming off birth control and spironolactone for liposuction

Thank you for opening up and sharing your journey. I can hear how much strength and persistence it has taken to reach this point with your skin. Managing acne through multiple rounds of Roaccutane, pregnancy-related changes, and ongoing treatments is not easy, and the progress you’ve made is truly significant.

It’s very understandable to feel anxious about stopping your birth control before surgery, especially given how closely tied your confidence and quality of life are to keeping your acne under control.

The good news is that continuing spironolactone at 100 mg daily should still provide protection against breakouts, as it directly addresses the hormonal component of acne. While pausing your birth control for a few weeks could lead to some hormonal fluctuations, many patients find that spironolactone alone is enough to help keep their skin stable during this time.

It’s also worth remembering that acne doesn’t typically flare overnight even if there are minor changes, they are often manageable and not as severe as the flare-ups you’ve faced in the past. The progress you’ve made with your skin has built a foundation that is much stronger than before, and that resilience will continue to work in your favor.

You deserve to move forward with your surgery and your hard-earned confidence without fear. While no treatment guarantees perfection, you have strong protection in place with spironolactone, and any small fluctuations can usually be addressed quickly.