Should anti-inflammatory supplements and teas be stopped before Coolsculpting?

I have an autoimmune disorder and as part of my natural treatment, I supplement my highly anti -inflammatory diet with supplements and detox baths that promote circulation and stimulate the lymphatic system. Example: Ginger, Epsom salt soaks, castor oil, essential oils, teas that include fennel, dandelion and fenugreek, arnica etc. I've read these should be stopped before surgeries to minimize bruising. Should they be stopped before coolsculpting as well? And for how long before?

Doctor Answers 5


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I appreciate your question.
I would recommend stopping any medications that can increase bruising 
The best way to assess and give true advice would be an in-person exam.
Please see a board-certified plastic surgeon that specializes in aesthetic and restorative plastic surgery.

best of luck!

Dr Schwartz

Discontinuing Supplements before Coolsculpting

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It is always a good idea to avoid aspirin, motrin, vitamin E, coumadin, fish oil, anticoagulants, or any other oral supplements that can cause bruising for one week before coolsculpting.  The pressure of some of the applicators combined with the suction can cause bruising in the area.

Medication to stop prior

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In order to mimimize potential bruising, avoid the following products 7 days prior to treatment and for up to 7 days after treatment: Alcohol, Aspirin, Vitamin E, anticoagulants such as Plavix, Coumadin, Fish Oil, St. John's Wort, Ginkgo Biloba, Ginger, Garlic, Feverfew or non-steroidal anti-inflammatory products such as Ibuprofen (Motrin, Advil) or Naproxen (Aleve, Naprosyn). If bruising is persistent or you are worried, set up a follow up appointment with your dermatologist.

Alim R. Devani, MD, FRCPC
Calgary Dermatologist
4.9 out of 5 stars 16 reviews

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Stopping supplements before Cooslculpting

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If you find that you bruise easily on these supplements or if you are wanting to minimize the chance of bruising, then I would stop the supplements.   If you decide that you would like to continue them, then I would recommend that you tell your provider and they lower the suction settings to balance the amount of tissue pull into the applicator (which is important to get good results) and with the degree of suction (which is adjustable).

Pre-coolsculpting protocol

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There is no pre-Coolsculpting protocol that calls for stopping any of the above.  But check with your Coolsculpting and primary care doctors to be on the safe side.

Sheila S. Nazarian, MD
Beverly Hills Plastic Surgeon
4.8 out of 5 stars 56 reviews

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.