Stop birth control before BBL?

Question

Hi. I'm having a BBL in a week, and the birth control I'm currently on has a high procent of proved blood clots. I've been using it for 8 years +, and never had a problem with them. But would it be smart to stop taking them before my BBL? Since there's always high risks of blood clots during surgery. The name on the pills is Yasmin.

Sacha Obaid, MD · Answer

Thank you for your question! Yes, you should stop taking birth control at least 2 weeks prior to, and 3 weeks post surgery. Best of luck!

Ozge Ergun, MD · Answer

Taking some contraceptive pills can increase your risk of getting serious blood clots (deepvein thrombosis – DVT) during surgery. Because of this I ask my patients to stop their pillsfour weeks before their surgery.You can restart your pills when you are discharged from hospital,when your doctor suggests you to do so.In the list below you will find some of the pills that need to be stopped before undergoing a surgery.Hope you find it helpful.Best wishesOzge Egun M.D
  
Aesthetic Plastic and Reconstructive SurgeonBinovum Brevinor Cilest Dianette Eugynon 30 Femodene Femodene ED Femodette Loestrin 20Loestrin 30 Logynon Logynon ED Logynon Logynon ED Marvelon Mercilon Minulet Microgynon30 Microgynon30ED Norimin
Norinyl-1 Ovranette Ovysmen Synphase
Triadene Tri-minulet Trinordiol Trinovum
Yasmin

Kenneth Hughes, MD · Answer

Use of birth control pills or hormone replacement therapy increases the risk of blood clots and patients may be advised to stop taking these one month prior to liposuction. Ask your PS for his advice.Kenneth Hughes, MD, ABPS Board Certified Plastic SurgeonLos Angeles, CA

Mats Hagstrom, MD (license on probation) · Answer

I generally do not have patience stop taking birth control pills unless they have other increased risk factors. Patches and vaginal rings have a higher incidence of blood clots and birth control pills. I am somewhat different and that I do these procedures with my patients awake using local anesthesia with mild sedation.  The great majority of plastic surgeons rely on General Anastasia for these procedures. General anesthetics are believed to be a big culprit in developing blood clots after certain surgical procedures. Each surgeon will differ on their opinion on this. I see nothing wrong with stopping the birth control pills one month prior to the procedure then restarting them with taking appropriate contraception in the interim. Best, Mats Hagstrom M.D.

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