Having a mommy makeover - when should I have stopped the Mili birth control?

Question

Hello Im flying to Colombia to have a mommy makeover on Aug 30th and i stopped taking my Birth control on Aug 16th should i have stopped sooner? (Norgestimate and ethynil estraidol tablets USP 0.250mg/0.035mg) pill description. Im 29 years old 5'1 weigh 113 pretty healthy dont suffer from any high blood presure or anything like that.

Alan Gonzalez, MD, FACS · Answer

Hello @Neat152828, thank you for your question. Every doctor has his or her own surgical method, so it is best to take the advice and recommendations of the specialist that is going to perform the surgery. Best wishes! Alan Gonzalez MD, FACS.

Emmanuel De La Cruz, MD · Answer

Typically, when planning for a Mommy Makeover or any elective surgery, it's recommended to discuss your birth control regimen with your surgeon during your pre-operative consultations.

Regarding hormonal birth control like Mili, there's often concern about the increased risk of blood clots associated with estrogen-containing contraceptives. Surgeons might recommend stopping estrogen-containing birth control methods several weeks before surgery to reduce this risk, particularly for procedures that involve longer periods of immobility, like surgery.

The specific timing for stopping Mili or any hormonal birth control before surgery can vary based on individual circumstances, the type of surgery, and the surgeon's recommendations. Generally, it's advisable to stop estrogen-containing birth control methods around 3-4 weeks before surgery to minimize the risk of blood clots.

However, it's crucial to have this discussion with your surgeon and follow their specific recommendations. They will provide guidance based on your medical history, the type of surgery planned, and how it might interact with your birth control regimen. Always prioritize your health and safety by communicating openly with your surgical team about any medications or contraceptives you're taking.

Ryan Rebowe, MD · Answer

In general, any estrogen or progesterone replacement or supplement should be stopped one month prior to surgery. This is to decrease the risk of venous thromboembolism (VTE) including deep vein thrombosis (DVT) and pulmonary embolism (PE). Depending on your other risk factors for surgery, you may or may not want to proceed with surgery, especially traveling. If you do decide to travel, make sure that you are walking every two hours to prevent blood clots.

George Bitar, MD · Answer

Each plastic surgery office has their own guidelines on managing medications around your surgery.  The concern with oral contraception is a potential increase in developing blood clots.  This risk is increased during general anesthesia and in tummy tucks.  That being said, there are no consensus guidelines.  In my practice, I recommend stopping oral contraceptives two weeks before surgery and after surgery.

Daniel Barrett, MD · Answer

Dear Neat152828,
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

Connie Hiers, MD, FACS · Answer

You should ask your surgeon what he/she prefers. I recommend stopping it at least 2 weeks prior to decrease your risk of blood clots. Your risks is higher than normal because of being on estrogen.

Manuel Diaz, MD · Answer

hi dear, thank you for your question, is recommended to stop taking birth control at least one month before surgery.

Thomas G. Korkos, MD · Answer

Hello!
Every surgeon will have their own protocol so check with your physician or his/her nurse. At our office we stop patients 14 days pre-operatively. 
Best of luck!Dr. Tom Korkos

Camille Cash, MD · Answer

This question should be answered by your surgeon as opinions may vary.  It is important to discuss all medications you take including prescription, over the counter, and supplements.  Your surgeon will advise what you can continue and what needs to be stopped.

Douglas Taranow, DO, FACOS · Answer

You should check with your surgeon for their instructions.  I feel that 14 days prior to surgery should be adequate for cessation of your BCP's.
Best wishes.
Dr. Taranow

Having a mommy makeover - when should I have stopped the Mili birth control?

Answers (13)

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