Is it OK for me to continue with HRT if I am getting breast implant surgery next Friday?

Thank you for your question. It is fine to continue with your HRT. I wish you well for your operation.

Hi,

When considering hormone replacement therapy (HRT) and surgery, like your upcoming breast implant procedure, it's essential to understand the risks. HRT, particularly estrogen, can increase the risk of blood clots during and after surgery. To assess this risk, surgeons use the Caprini Risk Scoring System, which considers factors like age, medical history, and surgery duration. For longer, more complex surgeries (over 3 hours), stopping HRT is often recommended. However, for straightforward procedures like breast augmentation, which typically take 2-3 hours, there's usually no need to stop HRT as the risk increase is minimal. It's important to weigh the benefits of continuing HRT against the slightly elevated risk of blood clots. Stopping HRT can also cause side effects like blood pressure fluctuations. If you're using transdermal patches or gels for estrogen, there's almost no need to interrupt treatment. Ultimately, the decision should be made in consultation with your surgeon, considering your individual risk factors and the specifics of your surgery.

My comments and recommendations are solely based on your text and are subject to change. I always recommend a face-to-face consultation with a specialist to plan the treatment.

Best wishes, Dr. Surmeli.

Dear Sanantaria,
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, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery