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!