Is it possible to have a breast augmentation and wisdom tooth removal in one go?

Question

I have a wisdom tooth that needs to be removed and I also want my boobs done. So I’m wondering is it possible to have knock them out together

Semih Yildiz, MD, FEBOPRAS · Answer

I would usually keep these procedures separate. Wisdom tooth removal is an oral surgery, and the mouth naturally carries bacteria; breast augmentation, especially with implants, is a procedure where we try to keep infection risk as low as possible. Combining the two also makes recovery, pain control, swelling, eating, and anesthesia planning more complicated.
If the wisdom tooth is painful, infected, or likely to become a problem, I would treat that first and wait until your dentist or oral surgeon confirms you are healed before proceeding with breast augmentation. If it is elective, discuss timing with both doctors, but in most cases spacing them out by a few weeks is cleaner and safer than trying to do both in one anesthetic.

Ira H. Rex III, MD · Answer

Generally, I would not consider this option.  Removing teeth can release bacteria into the blood which may land on the implant.  This could lead to a postoperative infection or capsular contracture down the road.  I say better to keep them separate.  Good luck with your surgeries!

Daniel Barrett, MD · Answer

Dear Tough142470 ,

I understand your concern. It is best however that you consult with a board certified plastic surgeon to determine whether you can have several aesthetic surgeries in one session, as this would depend on various factors including but not limited to your general health condition, the type of anesthesia that will be used, and the type of surgeries that will be performed among others.

Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Leila Kasrai, MD, FRCSC · Answer

It might be possible but you would need to coordinate the schedules of both surgeons and their medical teams to make that happen, as well as make sure each of their respective medical equipment is on site. Because of these logistical issues, it may be easier to have them performed separately.

Jeffrey M. Darrow, MD · Answer

Certainly, it would be easy to have a breast augmentation and a removal of a wisdom tooth done at the same time. It would also be beneficial to you to only have one recovery from 2 operations.  My only thought would be,  it may be difficult to find a dentist who would come into the operating room to remove your wisdom tooth before or after you have your breast augmentation. If you can clear that hurdle, it would seem to be a very good idea.

Arthur Dean Jabs, MD, PhD, FACS · Answer

Thank you for the question. 
You are asking if oral surgery can be done at the same time as a breast augmentation since you need a wisdom tooth removed. 
It is possible to do them at the same time but highly inadvisable. The reason being that manipulations in the oral cavity can seed the bloodstream with bacteria. You would be doing this at the same time that you are putting in a prosthetic device, the implant. This can lead to bacterial contamination of the surgical site. This increases your chance of developing a capsular contracture.
You are better off doing one at a time and in fact should consider taking prophylactic antibiotics after your augmentation for a few days after teeth cleaning or oral surgery to limit the possible effects.

All the best,

Dr. Jabs

Donovan Rosas, MD · Answer

Dental work typically involves transient bacteremia as bleeding during the procedure exposes the blood stream to oral flora.

This transient bacteremia poses a risk to the implants. Thus, the 2 should not be combined.

As always, discuss your concerns with a board certified plastic surgeon (ABPS).

Camille Cash, MD · Answer

These two procedures are better off done separately due to risk of infection.  As the wisdom tooth extraction is considered medically necessary it is best to have that performed first.  Once fully recovered you can proceed with your breast augmentation.

Darryl J. Blinski, MD · Answer

Very interesting question but the risk of bacterial seating in your bloodstream from oral surgery specifically wisdom tooth removal could cause postoperative breast capsule formation, breast implant infection. I would recommend separating these surgeries by at least two weeks. Nice try though.

Is it possible to have a breast augmentation and wisdom tooth removal in one go?

Answers (9)

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