In general, we ask patients to avoid anything that may cause excess bleeding or thinning of the blood for two weeks prior to and two weeks following surgery. This may include ibuprofen, NSAIDS, vitamin E, fish oil, various herbal supplements, and alcohol (especially red wine). That being said, it would be best to avoid taking blood thinners before surgery. I would recommend communicating this concern to your surgeon and disclosing any additional supplements or medications you are taking prior to having any surgery performed. This will help ensure your safety during surgery and allow you to get the best possible outcome from your procedure. Thank you and I hope this helps!