How does HRT affect recovery after breast reduction and tummy tuck?

Question

How does hrt affect recovery of breast reduction and tummy tuck

Steven J. Rottman, MD, FACS · Answer

Thank you for your question.  HRT increases your risk for developing thromboembolism. I would suggest stopping HRT at least two weeks prior to surgery.  Please see a board certified plastic surgeon for an in-person examination to discuss the specific details of the procedures. Ask to see before and after photos to get an idea of what can be achieved. Hope this helps!

Vincent N. Zubowicz, MD · Answer

In women over the age of 40 certainly consideration would be given to stopping hormone replacement in anticipation of mommy makeover surgery. Statistically these drugs increase the risk of deep pain thrombosis. Management is individual to the patient and at the discretion of the surgeon and anesthesiologist.

John Michael Thomassen, MD · Answer

HRT is associated with increased risk of thromboembolism.  This risk is increased with longer surgeries like combined procedures and specifically with abdominoplasty.  Some surgeons recommend stopping for 2 weeks before and after the procedure.  Talk with your surgeon to find out his recommendations.

Nelson Castillo, MD · Answer

Thank you for your excellent question.  In most cases HRT does not need to be stopped in anticipation of surgery and the same precautions to avoid blood clot formation should be followed - limiting operative time, leg compression devices, possible anticoagulation, early ambulation, etc.  Talk to your surgeon, they can better provide you with reassurance or recommendations.

Robert H. Hunsaker, MD · Answer

The primary concern is the somewhat increased risk of blood clots. Talk to your surgeon about whether or not you are required to stop them temporarily - some surgeons do, some surgeons don't. I don't, I use prophylaxis against clots and I have not seen a clot in someone on HRT in 26 years.

How does HRT affect recovery after breast reduction and tummy tuck?

Answers (5)

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