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Bioidentical Hormone Replacement Therapy in Plastic Surgery

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Bioidentical hormone replacement therapy (BHRT) is gaining popularity in plastic surgery to optimize surgical outcomes and promote overall health.

Written by

Dr. Varshini

Medically reviewed by

Dr. Jain Vicky Ghewarchand

Published At August 11, 2023
Reviewed AtJanuary 3, 2024

Introduction:

Bioidentical hormone replacement therapy (BHRT) is a growing field that has gained popularity recently for its ability to optimize hormone levels and improve overall health and well-being. BHRT involves using bio-identical hormones structurally identical to the hormones naturally produced by the body, resulting in enhanced safety and efficacy compared to synthetic hormones. BHRT can alleviate symptoms related to hormonal imbalances, promote healing and recovery after surgery, and maintain the results of surgery.

What Are Bioidentical Hormones?

Bio-identical hormones possess the same chemical structure and perform identical functions as hormones naturally synthesized by the human body. These hormones are often derived from plant sources such as soy or yams and are synthesized in a laboratory to be identical to the body's hormones.

Bio-identical hormones offer enhanced safety and potency than synthetic ones because they are not associated with the same risks and side effects. Synthetic hormones are often derived from animal sources and are not structurally identical to human hormones, thus resulting in various complications.

What Are the Hormones Used in the Bioidentical Hormone Replacement Therapy?

The specific hormones used in bio-identical hormone treatments will depend on the individual's hormonal imbalances, symptoms, and other factors. However, the most commonly used bio-identical hormones are estrogen, progesterone, and testosterone.

Estrogen:

Estrogen, the predominant female sex hormone, plays a pivotal part in the growth and balance of the female reproductive system. Bio-identical estrogen is often used in hormone replacement therapy to alleviate symptoms of menopause, such as hot flashes, vaginal dryness, and mood swings.

Progesterone:

Progesterone also plays a crucial role in menstruation and pregnancy. Therefore, it is often combined with estrogen in hormone replacement therapy to help balance hormone levels and can help mitigate the risk of specific side effects linked to estrogen therapy, such as uterine cancer.

Testosterone:

Testosterone is the primary male sex hormone in women in smaller amounts. Bio-identical testosterone may be used in hormone replacement therapy for men with low testosterone levels. It may help alleviate symptoms such as fatigue, decreased muscle mass, and reduced sex drive.

Other Hormones Used:

Other hormones used in bio-identical hormone therapy include dehydroepiandrosterone (DHEA), cortisol, and thyroid hormones. The specific hormones used in hormone therapy will depend on the individual's unique hormonal imbalances and symptoms.

How Are Bioidentical Hormones Administered?

Bio-identical hormones (BIH) can be administered through various methods, depending on the patient's needs and preferences. The most common methods of administering BIH include the following:

  • Topical Creams or Gels: BIH creams or gels can be applied to the skin daily and are absorbed through the skin into the bloodstream. This method is particularly effective for estrogen, testosterone, and progesterone.

  • Pellets: BIH pellets can be implanted under the skin and release hormones for several months.

  • Injections: BIH injections can be administered intramuscularly, typically in the buttocks or thighs. This method is often used for hormones like testosterone.

  • Oral Capsules or Tablets: BIH capsules or tablets can be taken orally, typically once or twice a day. This method is often used for hormones like progesterone.

The method of administration will depend on several factors, including the patient's health status, hormone levels, and preferences.

What Are the Benefits of Using Bioidentical Hormones in Plastic Surgery?

Bioidentical Hormone Replacement Therapy has various benefits for patients undergoing plastic surgery.

  • Reduce Inflammation: One of the primary benefits is the ability to reduce inflammation and promote healing after surgery. Inflammation is the body's response to any injury but can also contribute to scarring and other complications. By using bio-identical hormones to reduce inflammation and promote healing, patients can experience faster recovery times and reduced risk of complications.

  • Balance Hormonal Levels: Another benefit of BHRT in plastic surgery is maintaining the surgery results and promoting overall health and well-being. Hormonal imbalances can contribute to various symptoms, such as fatigue, mood swings, and decreased libido. By using BHRT to balance hormone levels, patients can experience improved quality of life and reduced risk of complications.

  • Improved Quality of Skin: BHRT can also help improve skin quality and reduce the signs of aging. As we age, hormone levels naturally decline, leading to symptoms such as decreased muscle mass, fatigue, and reduced libido. By using BHRT to maintain healthy hormone levels, patients can experience improved skin quality and reduced signs of aging.

  • Reducing the Risk of Complications From Surgery: Finally, BHRT can help reduce the risk of complications associated with surgery. For example, estrogen and progesterone have the potential to decrease the likelihood of developing blood clots following a surgical procedure, while dehydroepiandrosterone (DHEA) can help improve wound healing and reduce scarring. By using BHRT to optimize hormone levels, patients can experience a reduced risk of complications and improved outcomes after surgery.

What Are the Potential Risks of Bioidentical Hormone Replacement Therapy?

While bioidentical hormone replacement therapy (BHRT) can be beneficial for hormone imbalances, there are certain risks involved. These can include:

  • Hormonal Imbalance: One of the main risks of BHRT is the possibility of creating an imbalance in hormone levels. If hormone levels are not properly monitored and adjusted, BHRT can lead to too much or too little of a particular hormone, which can cause symptoms like weight gain, mood changes, and decreased libido.

  • Blood Clots: The use of estrogen therapy has been associated with a higher probability of developing blood clots. This risk is highest in women over 60 and those with a history of blood clots, so it is important to carefully consider these factors before starting treatment.

  • Cancer: There is some concern that BHRT may increase the risk of certain types of cancer, including breast, ovarian, and uterine cancer. However, the evidence is mixed, and some studies have suggested that BHRT may decrease the risk of these cancers.

  • Other Side Effects: BHRT can cause other side effects, such as headaches, acne, and mood changes. The mild side effects can be successfully controlled by making necessary modifications to the hormone regimen.

Conclusion:

The utilization of bioidentical hormone replacement therapy can serve as a safe and effective approach to treating hormone imbalances. Nonetheless, it remains crucial for patients to possess a comprehensive knowledge of the advantages and disadvantages and collaborate closely with their medical professional in order to identify the most suitable treatment approach tailored to their specific requirements.

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Dr. Jain Vicky Ghewarchand
Dr. Jain Vicky Ghewarchand

plastic surgery-reconstructive and cosmetic surgery

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