What medications that I am taking do I need to discontinue before my breast augmentation surgery? And how soon before should I?

Dear mm2772,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

It's crucial to follow your plastic surgeon's instructions regarding medication before your breast augmentation surgery. Here are some general guidelines, but please consult your plastic surgeon for recommendations:
Birth Control Pills and Spironolactone
• Birth Control Pills: Some plastic surgeons recommend discontinuing birth control pills a few weeks before surgery because they can increase the risk of blood clots. However, this varies by plastic surgeon, so ask your specific provider.
• Spironolactone: Generally, spironolactone is stopped 1-2 weeks before surgery due to its diuretic effect and potential impact on potassium levels.
Allergy Medications
• Zyrtec (Cetirizine): Typically, this can be continued, but confirm with your plastic surgeon.
• Montelukast (Singulair): This is usually safe to continue but check with your plastic surgeon.
Probiotics
• Culturelle Probiotics: Probiotics are generally safe to continue taking before surgery. However, it's always good practice to inform your plastic surgeon about all supplements you're taking.
General Advice
• Aspirin and NSAIDs: Discontinue at least 1-2 weeks before surgery as they can increase bleeding risk.
• Herbal Supplements: Some should be discontinued due to potential bleeding risks or interactions, so review all supplements with your plastic surgeon.
Timing: Generally, medications that need to be stopped are usually discontinued 1-2 weeks before surgery, but this can vary based on the medication and your plastic surgeon's preference.
Next Steps
1. Consult Your Surgeon: Provide a full list of all medications and supplements you're taking.
2. Follow Instructions: Adhere to the specific guidelines given by your plastic surgeon.
3. Communicate: If you experience any changes or issues, inform your plastic surgeon immediately.
By consulting your plastic surgeon, you can ensure a safe and smooth preparation for your breast augmentation surgery.