Is it okay to be on spironolactone acne medication and undergo a breast augmentation?

Question

Brian C. Reuben, MD · Answer

Thank you for your question.  Yes, it is ok to be on spironolactone and undergo breast augmentation.  The medication will not interfere with surgery.  Best wishes.

Ted Eisenberg, DO, FACOS, FAACS · Answer

There is no problem taking spironolactone and undergoing breast augmentation surgery. It is a good idea to have your blood tested to make sure your electrolytes are normal before surgery as they can be affected by this medication.

Steve Laverson, MD, FACS · Answer

As long as your body water and serum electrolytes are within normal range, general anesthesia and breast augmentation pose no increased risk of complications because of Aldactone (spironolactone).  In addition to treating acne, the drug is a potassium sparing diuretic, and may cause dehydration and electrolyte imbalance under some circumstances.  Fluid and electrolyte replacement should be more attentive for patients using Aldactone.  Perhaps your surgeon or anesthesiologist will want to check some laboratory test results (your electrolyte panel and/or chemistry panel) before breast augmentation surgery.

Aldo Guerra, MD · Answer

Spironolactone. This has not been a problem for the surgery and anesthesia part of the procedure. It rarely increases the risks of pigmentation as you continue to heal months and years later. Discuss with your plastic surgeon.

Urmen Desai, MD, MPH, FACS · Answer

Yes it is fine to be taking that medication prior to surgery.  I recommend an in-office examination as well as a detailed discussion with a surgeon who you are comfortable with.   Finally, make sure your surgeon is a Double-Board Certified Plastic Surgeon certified by the American Board of Plastic Surgery (ABPS), a member of the American Society of Plastic Surgery (ASPS) and the American Society of Aesthetic Plastic Surgery (ASAPS).Best,Dr. DesaiBeverly Hills Institute for Aesthetic Plastic SurgeryHarvard Educated, Beverly Hills & Miami Beach Trained, Double-Board Certified Plastic Surgeon

Nelson Castillo, MD · Answer

Thank you for sharing your excellent question.  Spironolactone will not increase your risk of any complication with a breast augmentation procedure.  Hope this helps.

Gregory T. Lynam, MD · Answer

Spironolactone is not going to increase bleeding which is the main concern to stop a medication prior to surgery. Good Luck!

Ronald J. Edelson, MD · Answer

it shouldn't be a problem, just make sure both the surgeon and anesthesiologist are aware you are on it and take their recommendations.  Good luck.

Daniel Barrett, MD · Answer

Dear bbsd80,spironolactone should be safe to use during breast augmentation surgery. However, it would be the best to check it with your plastic surgeon.Daniel Barrett, MD, MHA, MS 
Certified, American Board of Plastic Surgery 
Member, Am. Society of Plastic Surgery

Sean Kelishadi, MD · Answer

Hello and thank you for your question.  I have many patients who want to look their best, and in addition to seeking breast augmentation, some have acne and are on spirinolactone.  We have never had any problems performing breast augmentation in women taking spirinolactone.  We would just want to make sure that you have normal blood pressure and chemistry panel on your labs, and if all checks out fine (and it almost always does), you should be good to go.  I hope this helps and best of luck to you!Be sure to seek the expertise of a board certified plastic surgeon!Sincerely,Dr. Sean Kelishadi

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Is it okay to be on spironolactone acne medication and undergo a breast augmentation?

Answers (19)

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