If Bromelain is anti inflammatory can I still use before my next cosmetic filler injection?

Question

Isn't bromelain and anti inflammatory? Cant this thin the blood and cause more bruising? Is Bromelain safe to use before Botox and fillers? If so, how many days should I use Arnica and Bromelain before and fillers?

Alexander Rivkin, MD · Answer

Hello and thank you for your question.  It is a good idea to start Arnica about 1 or 2 days leading up to your procedure, and a day or two after.  Bromelain does have anti-inflammatory benefits to it, similar to NSAIDs, and is advised to be used a day after your injections.  Best of luck.

Jason Emer, MD · Answer

we tell patient to use this 2-3 days before and 2-3 days after. Also use LED red light to help.  Best, Dr. Emer.

Sheryl D. Clark, MD, FAAD · Answer

Dear Sam1302:Bromelain and arnica reduce bruising and swelling. There is a high potency formula with double-strength arnica and bromelain that can be taken by mouth before and for three days after filler injections which has been shown to reduce both side effects (DermAvance Arnika Forte). Topically-applied arnica and vitamin K may also be beneficial. NSAIDS like ibuprofen and naproxen are both anti inflammatory and “blood-thinning” and should not be taken before or after fillers, whereas bromelain and arnica are anti inflammatory but not “blood-thinning.”Sheryl Clark MD, FAAD

Steven F. Weiner, MD · Answer

Bromolin needs to be started a few days prior to a procedure to help but arnica can be started at the time of injections. Neither will thin the blood. All anti-inflammatories don't necessarily lead to blood thinning. Arnica is not stored in the body and doesn't help to take before bruising occurs.

Robert T. Buchanan, MD (retired) · Answer

Bromelain is anti inflammatory but is not a member of the NSAID (Non Steroidal Anti Inflammatory Drug) family which can increase bleeding or bruising. It also reduces bruising and speeds its resolution as does Arnica. For these reasons, we highly recommend both before and for several days after any filler.

If Bromelain is anti inflammatory can I still use before my next cosmetic filler injection?

Answers (5)

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