Will getting a breast augmentation exacerbate my alopecia?

Breast implants don’t regularly cause hair loss, and they are incredibly well studied by the FDA. Any surgery (since it stresses the body) can cause a temporary hair thinning called telogen effluvium, but the hair grows back

There is a chance that the stress from surgery may exacerbate your alopecia. However it seems you have been able to keep it well controlled through medication. The implants themselves should not cause you further issue. I encourage you to speak to your surgeon to help you weigh the pros and cons of the procedure.

Surgery is stress and stress can encourage alopeica. However, most ladies do well with the surgery. You might try nonpainful and noninvasive treatment of Folix laser for alopecia. It works well and you do not risk the side effects of steroids.

Getting breast implant by themselves should not cause hair loss. That said there are a number of things that can aggravate the condition including general anesthesia. Probably the best person to talk to is your dermatologist or whomever is currently helping you. No one can guarantee that surgery will not aggregate further hair loss. Based on what you describe I’m guessing the risk is fairly low but I don’t think anyone can give you an accurate prediction.
You’ll need to assess the “risk benefit ratio”.
It may be a good idea to at least learn your candidacy for implant augmentation to make sure you understand what the procedure entails. Not everyone seeking implants is a good candidate for the procedure. Understanding your candidacy may potentially help in making the decision one way or the other.
Best,
Mats Hagström MD