Medications to Avoid 1 Week Before and After Breast Augmentation?

Rita,
Your questions relevant to capsular contracture are too advanced for plastic surgeons of our time. At least at the Dallas Plastic Surgery Institute, we uniformly don't truly know the cause of capsular contracture. All of us have done quite a bit of research on the topic in our own institutions all over the country. One of the theories is infectious and another is immunologic and not of infectious origin. There´s no iron clad proof for or against any claim that either of these theories is accurate. We've been dosing cosmetic operations for years with and without implants even though there´s no proof that it actually helps. In fact, most of us have convinced ourselves that "it can't hurt" when in fact we may be fostering resistance to the good drugs we're using as "preventative".
That being said, in your particular case, if you have acne with open wounds and pustules on your face, then I´d suggest that you take your acne medication until as clear as possible (it sounds like this isn´t even an issue for your case) and wash your hands before and after removing any dressings from your surgery. This is one of the main reasons I use skin glue for my postoperative patients. The glue, although a bit pricey, is worth it to my expenses because it keeps the incision as sterile as it was at the time of surgery, which is when I placed it on your incision. There´s no opportunity to apply antibiotic ointment, but I´ve found that certain incisions do quite well without any form of unsterile intervention such as applying ointment with nonsterile gloves.
Getting back to your case, I've done breast augmentations on patients with acne of various sorts, including cystic and they do not correlate with a higher incidence of capsular contracture. I would rather not do the surgery if you have multiple open wounds as a general principle but since you didn't mention this to be the case I'll assume it isn't. You'll be interested to know that certain anti asthmatic agents have been informally associated with improvement in contracture tightness (suggesting that the inflammatory immunogenic mediators are the cause of it, not infection). I think if you read this you may find yourself a bit more comfortable with proceeding with surgery. Remember that unless your board certified plastic surgeon says otherwise, since he's the only one seeing how bad the acne or your ankle incisions are, it is probably ok to proceed.

Before and after breast augmentation surgery, it's crucial to follow your plastic surgeon's instructions carefully, including any recommendations regarding medications. While specific medication guidelines may vary depending on individual health conditions and the surgical technique used, here are some common medications that might be advised to avoid or adjust during the week before and after breast augmentation:
1. Blood Thinners: Medications such as aspirin, ibuprofen (Advil, Motrin), naproxen (Aleve), and certain herbal supplements (like garlic, ginseng, and gingko biloba) can increase the risk of bleeding during and after surgery. Your plastic surgeon may advise avoiding these medications for at least a week before surgery.
2. Herbal Supplements: Some herbal supplements may also have blood-thinning effects or interact with anesthesia and other medications. It's essential to disclose all supplements you're taking to your plastic surgeon and follow their recommendations.
3. Vitamin E: High doses of vitamin E can also increase the risk of bleeding. Your plastic surgeon may recommend avoiding vitamin E supplements for a certain period before surgery.
4. NSAIDs (Nonsteroidal Anti-Inflammatory Drugs): While NSAIDs can help manage pain and inflammation, they can also increase bleeding risk. Your plastic surgeon may advise avoiding these medications before and after surgery. Acetaminophen (Tylenol) might be recommended instead for pain relief.
5. Certain Antidepressants: Some antidepressants, such as selective serotonin reuptake inhibitors (SSRIs) and serotonin-norepinephrine reuptake inhibitors (SNRIs), may interfere with blood clotting. Your plastic surgeon may adjust your medication regimen if necessary.
6. Hormonal Medications: Estrogen-containing medications or hormone replacement therapy may increase the risk of blood clots. Your plastic surgeon may advise adjusting or temporarily stopping these medications before surgery.
Always consult with your plastic surgeon and follow their specific guidelines regarding medications before and after breast augmentation surgery. They will provide you with recommendations based on your medical history, the specifics of your surgery, and any other relevant factors. It's essential to communicate openly with your surgical team and follow their instructions to ensure a safe and successful recovery.

The medications you have listed are ok before and after surgery. But what concerns me most is what you describe as wounds on your ankles. I would want to know what they are from and how long you have had them, who is treating them and are they healing.
I generally would not place implants in a patient who has an open wound. It is not worth the risk and I would recommend you wait until the ankle wounds are closed.