Should I take Mirena IUD out before breast reduction?

Question

the Mirena IUD makes my breasts a bit fuller / heavier than they are without it. It feels like glandular tissue rather than fat, as I don't gain weight elsewhere. Should I remove the IUD so that my breasts are at their 'lightest' size when I have the breast reduction? Might this result in less tissue being removed? I am keen to go down as many cup sizes as possible (while protecting nipples) If I do remove it I would get a new one a few months after the surgery.

Scott C. Lindsay, DO · Answer

Thanks for your question! I think that decision is completely up to you. If you feel that it alters your breasts, then maybe it is best. Discuss this with your plastic surgeon to see what he/she thinks. Good luck!

Alan Gonzalez, MD, FACS · Answer

Hello @Alittlewonky thank you for your question. My recommendation would be to follow the advice of your doctor since the surgical technique used by different specialists varies. In my opinion, there is no reason why you should remove your IUD before undergoing breast reduction surgery since you will get a new one after undergoing the surgery. Best wishes! Alan Gonzalez MD, FACS. American Society of Plastic Surgery Member (ASPS), International Federation for Adipose Therapeutics and Science” Member (IFATS), Colombian Society of Plastic Surgery member (SCCP)

Ajaya Kashyap, MD · Answer

Thank-you for your query. I do not advice removing IUDs before breast reduction. As long as your surgeon knows about it, and also that you tend to get more fullness in your breasts with it, the surgery can proceed without removing the IUD. You should, however, talk to your surgeon about this and your other concerns before planning the procedure. All the best!

Camille Cash, MD · Answer

Each surgeon has her/his own protocol's regarding medications, including IUD's.  This question is best discussed with your surgeon who will advise what is recommended for you. If you do elect to have it removed you can have it reinserted after you are healed from surgery.

Daniel Barrett, MD · Answer

Dear Alittlewonky,
every plastic surgeon has his own preoperative protocol which he recommends to his patients. I would suggest you to discuss this with your plastic surgeon.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Should I take Mirena IUD out before breast reduction?

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Should I take Mirena IUD out before breast reduction?

Answers (6)

Answer: IUD

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Everything you need to know about Breast Reduction

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