Arnica Pellets for Ethnic Rhinoplasty to reduce swelling?
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Doctor Answers 4
Postoperative instructions after rhinoplasty
With regards to minimizing bruising and edema (swelling), I would recommend the following:1. Avoid Aspirin, Advil, Motrin, Ibuprofen, all other NSAIDs, Coumadin, Plavix, vitamin E, fish oil, omega-3, herbal supplements and vitamins, etc.for 2 weeks
before and after the surgery. (If you take blood thinners, make sure you speak to
your doctor about discontinuing these medications!)2. Adhere to a low sodium diet (less than 250mg per meal) for 4-6 weeks after surgery!
3. You may eat fresh pineapple and/or take Bromelain 3 days
before and 1 week after surgery.
4. No strenuous activities that increase your heart rate, blood pressure, or cause perspiration for 4-6 weeks after surgery.
5. Sleep with your head elevated.6. Most importantly, follow the instructions of your surgeon, especially if they differ from these recommendations!Best wishes!
Arnica for Rhinoplasty
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Use of Arnica and Bromelain
Thank you for your question. Some studies show a beneficial effect using Arnica and Bromelain. Other studies show there is no effect. In my opinion, Arnica and Bromelain should be started the day after surgery to minimize the risk of bleeding. I have tried Arnica and Bromelain before surgery and have noted significant more bleeding from the surgical site. Therefore my recommendation is to start Arnica and Bromelain the day after surgery. For facial and eyelid surgery, I recommend elevating the head for four days and using saline soaked 4 by 4s every 30 minutes while you are awake for four days. Remember, peak swelling after surgery is on the third day. Therefore, I have my patients ice one day beyond this and I have found it to be very beneficial. I hope you find this helpful. Best wishes in your upcoming surgery!
James Fernau, MD, FACS
Board Certified ENT
Board Certified Plastic Surgeon
Member of ASPS, ASAPS, ISAPS, The Rhinoplasty Society, AAFPRS, OTO/HNS, ASLMS
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.