Should I Stop Taking HRT Before Breast Implants?

Question

i'm currently taking 6mg and wondered if i'd need to stop my hormone replacement therapy if having breast implants?

Otto Joseph Placik, MD · Answer

Any surgery involves assessing the risks and the benefits of the procedure. Surgery, particularly long operations or ones involving the abdomen and/or pelvis are associated with a higher risk of blood clots. HRT & BCP are also associated with a higher risk of clotting. Combining these two may lead to a particularly higher risk of Clots called Deep Vein Thrrombosis (DVT) with possible spread to the Lungs called a Pulmonary Embolus (PE).
I generally advise patients to consider cessation prior to long procedures or higher risk procedures. Breast augmentation is a relatively low risk procedure for DVT and unless they have a prior history of clots, I do not routinely suggest that they stop HRT or BCP

David A. Robinson, MD · Answer

Although stopping HRT prior to breast augmentation surgery is not a necessity, cessation of this medication can help decrese the small risk of developing a blood clot (DVT) or a migration of a blood clot to your lungs (PE).  
I agree with my colleagues that prior to stopping HRT, check with your prescribing physician and dicontinue the medication only under their direct supervision.  Other medications that should be avoided are ones that can cause bleeding (blood thinners, aspirin, herbal supplements).  
Check with your plastic surgeon to see which medications he/ she may want you to stop prior to your surgery.
Good luck.

Steven Wallach, MD · Answer

Hormone therapy can increase the risk of blood clots that develop in the legs and that can cause a pulmonary embolus.  It may be a good idea to review this treatment with your medical doctor to see if this can be stopped safely for a few weeks before surgery and restarted a few weeks after surgery.

Nina S. Naidu, MD, FACS · Answer

I would not recommend stopping your medication without speaking to the physician who prescribed it.  In general we allow patients to stay on all medications unless they are associated with bleeding.  Good luck.

Darryl J. Blinski, MD · Answer

As usual, Dr Aldea is 100% correct. But this is a question for your operating surgeon to address. Please obtain a good informed consent before having any surgery. 
Regards from Miami

Should I Stop Taking HRT Before Breast Implants?

Answers (8)

Answer: HRT and breast augmentation

Answer: HRT and breast augmentation

Answer: Discuss HRT meds with your surgeon

Answer: Discuss HRT meds with your surgeon

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Everything you need to know about Breast Implants

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Should I Stop Taking HRT Before Breast Implants?

Answers (8)

Answer: HRT and breast augmentation

Answer: HRT and breast augmentation

Answer: Discuss HRT meds with your surgeon

Answer: Discuss HRT meds with your surgeon

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Recommended reading

Everything you need to know about Breast Implants

Our mission is to create a world where every investment in modern beauty is Worth It.