Can I have Spiro 100mg and Breast Augmentation surgery?

Question

I have a scheduled BA for this month and my derm recently upped my dose of spiro to 100mg. I'm really freaking out and getting worried that this medication will enlarge my breasts even more!! I'm a large C right now and after the surgery I don't want my breasts growing anymore! I keep reading stories online of women gaining weight and adding cup sizes. But this is the only med that helps my acne. I'm just so frustrated because my breasts are starting to swell already.

Joe Gryskiewicz, MD, FACS · Answer

Hi Sammy,Sorry you are in a dilemma.  Maybe have your PS and Derm talk together.  All the best, Dr. Joe

Jennifer L. Walden, MD · Answer

Increasing the dose of spironolactone from 50 mg per day to 100 mg per day is not unusual for acne. In some women it causes (water) weight loss and doesn't affect breast size, but every person varies as you point out some, including you, have witnessed breast growth. That is why it is a good idea to consult with your PS and dermatologist to make sure they are in the know about the medication.  Spironolactone has positive effects of helping acne but can sometimes cause an alteration in electrolytes like potassium so I usually have my preop patients who take this medication get an electrolyte panel before the surgery. Good luck!

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