Do I need to tell my rhinoplasty surgeon I'm on birth control and do most people need to get off it before surgery?

This is an important question. Birth control pills can increase your risk for clotting especially in the first several months. I would discuss this issue at length with your gynecologist and plastic surgeon for specific recommendations tailored to you and the procedures performed.

The quick answer is yes. Possible exceptions would be if you're known to form blood clots in the legs, and if you're undergoing revision rib grafting rhinoplasty where the anesthetic could be longer than 6 hours. It's important to tell your surgeon all the medications you are taking, including recreational.

For most patients, they can stay on an oral contraceptive and do not need to hold this medication surrounding the time of rhinoplasty surgery. Good luck with your procedure!

It's important to disclose all medications to your surgeon. However, birth control pills are generally not an issue. In my practice I don't ask patients to stop. 

We allow our patients to stay on their OCPs.  It is important to tell your surgeon about everything you are taking, even non-prescription medications like fish oil, and herbal medications like ginko biloba, which your surgeon may want you to stop since they can be associated with increased bleeding.So, tell your surgeon everything! And good luck!

 In our practice, we encourage patients to stay on their birth control pills. The birth control pills have no bearing on the bleeding after a rhinoplasty. It's also important not to be pregnant while undergoing elective cosmetic surgery.

Simply stated, tell your surgeon everything about your medical history past and present. In my practice patients can continue your birth control pills before, during, and after surgery.