MDMA 3 days before Breast Augmentation, will it affect my surgery?

Here are the major points of smoking Tobacco or Marijuana before or after surgery:1. There is nicotine in tobacco, but not in marijuana. However, most joints are rolled with marijuana and tobacco combination. Nicotine is a vasoconstrictor that decreases blood flow to the tissues. This is the major problems that can cause a very bad outcome in some surgeries. In a breast augmentation, there is not a lot of risk as there are not a lot of incisions which decrease blood flow to the tissues. In a breast lift or tummy tuck, on the other hand, there is much longer and more involved incisions. The decrease in blood flow to the tissues in combination with the decrease in blood flow from the nicotine can cause tissue to die. This can cause part of the breast or nipple, or in the case of a tummy tuck, part of the belly tissue to die, resulting in a very bad outcome. Marijuana without tobacco does not cause this problem, or marijuana in an edible fashion.2. There is carbon monoxide in both tobacco smoke and marijuana smoke. Carbon monoxide decreases the oxygen carrying capacity of hemoglobin in the blood. This is different from the vasoconstrictor effect, but has the same result of having the risk of tissue death in conjunction with surgeries that decrease the blood flow to tissues such as breast lifts and tummy tucks, as opposed to an augmentation alone that does not decrease blood flow to as great of an extent. Again, edible forms of marijuana do not have smoke, and thus carbon monoxide poisoning.3. Coughing. Both tobacco and marijuana smoke disrupt the lining of the lungs and bronchi and can lead to coughing episodes. Coughing episodes can lead to internal bleeding after surgery that can lead to hematomas and complications, and again a bad outcome. Again, edible forms of marijuana does not have this effect.4. Anesthesia effects. Marijuana can have drug interactions with certain anesthetic drugs. Thus it is important to tell your anesthesiologist about your marijuana use.In conclusion, Smoking, whether it be tobacco or marijuana, is detrimental to your surgery outcome. Edible marijuana is much less so, but be honest about your use with your surgeon and anesthesiologist so that you can have the best outcome.Best wishes,Pablo Prichard, MD

Not a good combination. Be honest with your surgeon and anesthesiologist or you will be placing yourself at risk.  My anesthesiologist would decline the case as these drugs can interact to your detriment and they remain in your system for these purposes for about a month.

Most surgeons would probably decline to operate on patients actively using ecstacy.  Let your surgeon and anesthesiology know, because there may be unsafe cross reactions between the drug and the agents used for anesthesia.

Thank you for your question. I would urge you to contact your surgeon directly about this. Just be honest with them. She or he can discuss it with their anesthesia team to see if they could be putting you at risk for a dangerous reaction with the medications they are planning to use. Since recreational drugs are not regulated, we cannot effectively predict how they will react with the drugs used in surgery. If your surgeon and her or his team feel like it would be safer for you to reschedule until the MDMA and weed has had time to clear your system, do it. An elective procedure of any kind is not worth your safety. Best wishes.