Can an IUD interfere with a mommy makeover?

Question

This may be up to the surgeon’s discretion, but would my IUD interfere at all with a mommy makeover?  I have the Mirena

Luis M. Rios Jr., MD · Answer

Thanks for the question.In general, an IUD won't interfere with a mommy makeover.Since mirena  has progesterone, it may put you at a higher risk for developing blood clots in your leg. Make sure you let your surgeon know you have a Mirena IUD, so that he can develop a plan to reduce your risks after surgery.Here are a few recommendations that surgeons give to reduce a patient's risk after surgery.1) Get up as much as possible and walk after surgery.2) Stay hydrated.3) Compression socks may be used for a few days after surgery.4) Some surgeons may also prescribe a mild blood thinner after tummy tucks to reduce blood clot formation.The mirena IUD is usually not removed around the time of the surgery.Good Luck!

Christine Fisher, MD, FACS · Answer

If you have a Mirena IUD and are considering surgery of any kind, including a Mommy Makeover, it's best to tell your surgeon. The Mirena IUD has progesterone, so it could put you at a higher risk for developing a blood clot in your legs. While having the Mirena IUD doesn't mean you can't undergo surgery, there are certain recommendations as far as post-operative care you should follow to help reduce your risk for developing blood clots.
For the first couple of weeks after surgery, make sure you are getting up and taking a little walk around your home every couple of hours. Keeping your blood flowing in your legs will help prevent a blood clot from forming.In a seated position, you can also "pump" your legs by flexing and pointing your toes.For all patients undergoing a tummy tuck in my practice (regardless of IUD status), I prescribe a mild blood thinner to reduce the risk of of blood clots.

S. Alexander Earle, MD, FACS · Answer

An IUD does not interfere with having a mommy makeover or your recovery.  You do have to make sure your surgeon is aware an follow his/her post-op instructions closely.  Walking after surgery will be very important to reduce the risk of blood clots.  Always consult with a board certified plastic surgeon.  Good luck!
S. A. Earle, MD, FACS

Aldo Guerra, MD · Answer

Mirena is a copper IUD with progesterone. Hormone delivering devices increase the risks of DVT, but estrogen is a much higher risk hormone than progesterone. Ask your plastic surgeon, but removing this IUD is not always an option.
Good luck. Dr. Aldo

Bryan Curtis, MD · Answer

An Intrauterine Device (IUD) is a form of birth control that is inserted into the uterus to prevent pregnancy. A "mommy makeover" typically refers to a combination of cosmetic surgical procedures designed to address the physical changes that often occur in a woman's body after pregnancy and childbirth. Mommy makeovers may include procedures such as breast augmentation or reduction, tummy tuck (abdominoplasty), liposuction, and more.In general, an IUD should not interfere with a mommy makeover procedure, as they are not directly related. However, there are a few important considerations to keep in mind:1.) Pregnancy Status: Before undergoing any elective cosmetic surgery, it's crucial to ensure that you are not currently pregnant. If you have an IUD in place, it is intended to prevent pregnancy, but no form of contraception is 100% effective. Therefore, it's important to confirm that you are not pregnant before scheduling and undergoing any surgical procedure.2.) Medications and Anesthesia: You should inform your plastic surgeon and their medical team about any medications you are taking, including birth control methods like IUDs. Some medications may interact with anesthesia or other drugs used during surgery, so it's essential to provide a complete medical history.3.) Consultation with Your Surgeon: During your consultation with the plastic surgeon, be sure to discuss all aspects of your health and any medications or contraceptive methods you are using. They will provide guidance and recommendations specific to your situation.4.) Follow Post-Procedure Instructions: After a mommy makeover, you will likely receive specific instructions for your post-operative care. It's important to follow these instructions carefully, as they can impact the success of your procedure and your recovery.Ultimately, the presence of an IUD should not be a significant factor in whether or not you can have a mommy makeover. However, it's essential to discuss your individual circumstances and health with a qualified plastic surgeon to ensure that you are a suitable candidate for the procedures you are considering and to address any specific concerns related to contraception or other health factors.

David A. Lickstein, MD · Answer

Thank you for your question. While an IUD won’t interfere with the surgery itself, because it releases hormones into your body, you may be at greater risk for developing blood clots. It is important to move around as much as possible during your recovery to prevent blood clots from forming. Be sure to let your board certified plastic surgeon know about your IUD as well, so they can take any preventative measures necessary to help you avoid blood clots. Good luck!

Tim Sayed, MD, MBA, FACS · Answer

Mirena is a contraceptive that releases hormones into your system. Most hormonal contraceptives do increase the risk of blood clot formation, so it is important to discuss this with your surgeon. Most surgeons would not take any added precautions other than using compressive devices and possibly TED hose on your legs throughout the surgery, possibly keeping the hose on for several days postop at home, and encourage early and frequent walking. Some surgeons might ask the patient to remove the IUD or use a blood thinner like Lovenox, although Lovenox can increase the risk of bleeding and bruising and is not generally required. Talk to your surgeon to make sure your perioperative protocol includes awareness of your Mirena.

Camille Cash, MD · Answer

You should be able to safely have the Mommy Makeover procedures with your IUD in place.  Be sure to mention it when you speak with your surgeon, along with all medications and supplements that you take.

Angeline Lim, MD · Answer

Having an IUD should not interfere with having a mommy makeover.  The Mirena IUD releases a very low dose of hormone, and these types of hormones (particularly higher doses associated with oral birth control pills or postmenopausal hormone replacement) have been associated with higher risk of developing blood clots in your legs or lungs (deep vein thrombosis, or DVT; and pulmonary embolism, or PE).  As with any patient undergoing multiple surgical procedures like a mommy makeover, it is always critically important to start walking right away after surgery, to help prevent blood clots from causing problems.Be sure to mention that you have the Mirena IUD when you talk with your plastic surgeon, so that you can best be advised on your preoperative preparation and postoperative expectations.Hope this helps, and best of luck,Dr. Lim

Robert E. Zaworski, MD (retired) · Answer

The IUD will not interfere with your Mommy Makeover surgery.  Disclose all medical devices and medications to your operating surgeon prior to your surgery.

Can an IUD interfere with a mommy makeover?

Answers (10)

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