Citalopram and surgery
This is an excellent question. Citalopram is an SSRI, which is considered safe to continue taking throughout your surgical course. Pain medication can potentiate the neurological side effects of citalopram (dizziness, confusion, decreased mental clarity), but this is unlikely to be the case if the citalopram is not a new medication for you. Serotonin syndrome is typically seen with the older antidepressants in the MAOI class and would be very rare with an SSRI. Be sure to mention your concerns to the anesthesiologist so that they can help put your mind at ease.
Don't discontinue Citalopram acutely
Excellent question. Many patients are on anti-anxiety, anti-depressants and any surgery, including elective procedures are potentially stressful. Citalopram is a #SSRI (selective serotonin receptor uptake inhibitor) and can generally be continued through your surgical course. By contrast, older class of anti-depressants, #MAOI (monoamine oxidase inhibitors) were traditionally suspended at least 2 weeks preop because of two potentially fatal pharmacological interactions: firstly an excitatory reaction due to increased serotonergic activity and secondly a depressive reaction due to suppression of hepatic enzymes. #Serotonin syndrome symptoms include high temperatures, hyperreflexia, hypertension, hypotension, convulsions and liver suppression may result. General anesthesia drugs like Fentanyl, Demerol and post-op pain meds, such as Tramadol may theoretically increase the risk of serotonin syndrome, however this entity is fairly rare and exacerbated by higher doses or the use of multiple types of SSRIs. When in doubt, please consult with your PS and his/her anesthesiologist. Good luck.
I don't know of benefits or disadvantages of this medicine regarding your concern; Please see examples of breast lift with implant augmentation below.