How Long Should I Take Arnica Montana and Bromelain for Rhinoplasty Swelling?

Question

I had rhinplasty about a month ago and i have very thick skin. My nose is still very swollen. I decided to buy both arnica montana and bromelain because i hear they are both great for swelling. But i was wondering how long should i take them? i read that you only suppose to take Arnica for a week and Bromelain for 2 weeks. But i have been taking Arnica for a week and my nose is still very swollen should i stop taking them or not?

Raffy Karamanoukian, MD, FACS · Answer

I advise my patients to use Arnica and Bromelain formulations.  Although there are many on the market, I would only use a standardized form of Arnica, such as Sinecch, Boiron, or Bruisestick products.  BruisePak is a standardized oral form of Arnica in a chewable tablet.

Lewis Albert Andres, MD · Answer

Hello! Thank you for your question! The recommendations for the use of these homeopathic medications are surgeon preference. I typically suggest the use of Arnica to decrease swelling and bruising. It is an herbal medication that is propagated from the seeds of an herb. I, as well as my patients, have seen some benefit with the treatment in the postoperative period. Although there is little evidence to its effectiveness, I believe there is some benefit, but no harm. I recommend 4-5 tablets under the tongue 4x/day for 3-5 days prior and 5-7 days after the procedure. At 4 weeks postop, the effects probably are not helpful. Hope that this helps! Best wishes!

Jerome Edelstein, MD · Answer

Before you start taking anything, you should ask your surgeon if it's okay. By this time, however, these supplements may not be effective.

Brian M. Harmych, MD, FACS · Answer

This question continually gets asked of rhinoplasty surgeons.  This is not an exact science; however, in most cases, it can be stopped after 7-10 days, when the majority of bruising and swelling has resolved.  For some patients with bruising that lasts longer than 7-10 days, they may need to take these supplements for longer. Frequent and long-term follow up with your rhinoplasty surgeon is imperative. Perhaps the most important thing a patient can do after rhinoplasty to reduce swelling is keep the head elevated.

Michael A. Persky, MD · Answer

Hi Brown,

	At this point, 4 weeks after rhinoplasty, I do not believe that the Anica and or bromolene are doing much to help with your "swelling".  I think that you hit it on the "nose" when you stated that you have thick skin.  It takes time for swell ling to resolve in thick skinned patients following rhinoplasty.  Good luck and be well.

	Dr. P

How Long Should I Take Arnica Montana and Bromelain for Rhinoplasty Swelling?

Answers (9)

Answer: Arnica/Bromelain for Bruising and Swelling After Rhinoplasty Surgery

Answer: Arnica/Bromelain for Bruising and Swelling After Rhinoplasty Surgery

Answer: Bromolene and Arnica to Decrease Swelling in Thick Skinned Rhinoplasty

Answer: Bromolene and Arnica to Decrease Swelling in Thick Skinned Rhinoplasty

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How Long Should I Take Arnica Montana and Bromelain for Rhinoplasty Swelling?

Answers (9)

Answer: Arnica/Bromelain for Bruising and Swelling After Rhinoplasty Surgery

Answer: Arnica/Bromelain for Bruising and Swelling After Rhinoplasty Surgery

Answer: Bromolene and Arnica to Decrease Swelling in Thick Skinned Rhinoplasty

Answer: Bromolene and Arnica to Decrease Swelling in Thick Skinned Rhinoplasty

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Recommended reading

Everything you need to know about Rhinoplasty

Our mission is to create a world where every investment in modern beauty is Worth It.