Should I have my paraguard IUD removed before lipo?

Question

Hello, 33 years old with prior issues of being anemic. According to my calendar, I may be on my period during my upcoming lipo suction procedure. Should I have my paraguard IUD removed to avoid any issues and if impacts to my hemoglobin 2-3 months prior to surgery?

J. Timothy Katzen, MD, FACS · Answer

178
Thank you for your question regarding your upcoming liposuction with a history of anemia and an IUD. I suggest you consult with your medical doctor, gynecologist, and hematologist. Maximizing your hemoglobin level before your elective liposuction procedure will be essential. Once your hemoglobin is stabilized, then you can consider liposuction. Your gynecologist will be able to guide you to determine if removing the IUD will help or make your anemia worse. I performed many liposuction cases successfully on patients who have IUDs. Patients do not need to remove IUDs for elective liposuction. If your hemoglobin is stable, you can undergo liposuction. I hope this helps answer your question regarding undergoing liposuction while having an IUD and a history of anemia.

Sincerely, Dr. Katzen. (“Verified” Plastic Surgeon, President of the American Society of Bariatric Plastic Surgeons, certified by the American Board of Plastic Surgery, Fellow of the International Society of Aesthetic Plastic Surgery, American College of Surgery, and International College of Surgery, and member of the American Society of Plastic Surgery, American Academy of Cosmetic Surgery and RealSelf Hall of Fame.)

Emmanuel Mallol Cotes, MD · Answer

Thank you for your question, The IUD does not bring any complications during the procedure, for this reason you can keep it. What I recommend you is be consulted by board certified plastic surgeon specialized in Body Contour, who knows individualize each patient to give you the better advice.

Kind regards,
Dr. Emmanuel Mallol Cotes.-

Kind regards,
Dr. Emmanuel Mallol Cotes.-

Christopher Pannucci, MD, MS · Answer

Hi Cute986403,
I regularly talk with women about contraception prior to aesthetic surgery. Outside sources of hormones, like oral contraceptives or hormone IUDs, can increase risk for blood clots (deep vein thrombosis or pulmonary embolus) after surgery. To be fair, the risk for blood clots in the overall aesthetic surgery population is low-0.09%, or around 1:1000, and removing outside sources of hormones may decrease this already low risk by a fraction of a fraction of a percent. When women choose to remove their hormone contraception, I will often suggest a copper IUD (like the one you have) instead. The copper IUD can provide contraception without hormones around the time of surgery. I wouldn't recommend removing yours prior to surgery.
Hope this helps.
Best,Christopher Pannucci, MDBoard Certified Plastic SurgeonPlastic Surgery NorthwestSpokane, Washington

Daniel Barrett, MD · Answer

Dear Cute986403,
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

Mats Hagstrom, MD (license on probation) · Answer

I see no reason why you should take out your IUD. If you want to get a specific answer then ask your plastic surgeon or your gynecologist.

Best,

Mats Hagstrom MD

Should I have my paraguard IUD removed before lipo?

Answers (5)

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