Antidepressants intend to decrease and/or cease depression symptoms. Most plastic surgeons advise patients to discontinue their antidepressants before plastic surgery, but new research suggests this may cause more harm than good.
Antidepressants have long been associated with the risk of excessive bleeding during plastic surgery. A new study published in Plastic and Reconstructive Surgery, which is the journal by the American Society of Plastic Surgeons (ASPS), finds this side effect inconclusive.
What the Study Found Concerning Antidepressants and Plastic Surgery
In six studies with more than 34,000 patients who received breast cancer surgery (mastectomy) and cosmetic plastic surgery (breast reconstruction), some patients suffered from excessive bleeding, while others did not. While excessive bleeding can be a problem in which patients would need emergency medical treatment, the consequences of discontinuing antidepressants may be much more life threatening.
One of the many depression symptoms people suffer from is suicide. If patients discontinue their antidepressants before plastic surgery, it may take weeks before they feel the full effects of their medication again. The time between discontinuation of antidepressants and their ability to be in full effect again can be dangerous for patients; some may become severely depressed or even attempt suicide.
What About the Slight Risk for Excessive Bleeding?
Since there is still some concern regarding the possibility of increased bleeding due to antidepressant use, many plastic surgeons will likely request psychiatric/psychological/medical evaluation concerning the continued or discontinued use of antidepressants for plastic surgery. According to the authors of the study, “The use of antidepressants for mental disorders may also implicate key patient risk factors for surgical complications and sufficient exploration into the patient’s indications for the prescription is crucial.” By assessing the risks of continuing vs. discontinuing the use of antidepressants, the patient and plastic surgeon can decide if the risks of continuing/discontinuing the antidepressants outweigh the benefits.
Contact Manhattan and Long Island Plastic Surgeons for More Information
If you’re currently taking antidepressants for depression and want plastic surgery, consider scheduling a free consultation with our experienced plastic and cosmetic surgeons. We have some of the best Manhattan and Long Island plastic surgeons available.
We follow the lead of the latest research in the plastic surgery industry. Our patients’ best interest is always at the forefront of everything we do for them. This includes deciding which medications can and cannot be taken before, during, and after plastic surgery.
Together with your medical doctor, we can decide the best course of action to ensure you have a safe and pleasant plastic or cosmetic surgery experience.
Contact us now for a free consultation. We have appointments available Monday through Friday 8:00 AM to 8:00 PM and until 6:00 PM on Saturdays.
We look forward to helping you not only feel your best, but look your best, too.