What herbal medicine should be avoided before breast augmentation surgery?

Question

I have an up coming breast augmentation scheduled. I noticed the list to avoid before surgery. I have been currently taking kratom And was wondering if this would effect my surgery bleeding wise. I did not see that specific name listed. Not a lot of Dr's know what this botanical is so I would like some professional opinions on your thoughts.

Amir Sadr, MD, MSc (Plast), FEBOPRAS · Answer

Thank you so much for your question, a very important one.
I advise my patients to stop all herbal supplements as well as those containing turmeric, ginger and garlic, at least a week before surgery, to avoid excess bleeding and bruising.
If you are taking anything in particular, whether herbal or not, be sure to ask your board certified surgeon. 
All the best.

Ted Eisenberg, DO, FACOS, FAACS · Answer

I advise my patients to stop all herbals before breast augmentation surgery. This action creates certainty in avoiding medications that can cause bleeding. Dr. Ted Eisenberg, Board Certified Plastic Surgeon and Author. RealSelf Distinguished Hall of Fame Inductee. Philadelphia, Pa., USA

Nelson Castillo, MD · Answer

Thank you for sharing your question. Best to ask your surgeon their respective opinion but I would stop all unnecessary medicines prior to surgery.

Daniel Barrett, MD · Answer

Dear Meli121121,
every plastic surgeon has his own preoperative protocol which he recommends to his patients. I would suggest you to discuss this with your plastic surgeon.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Kenneth Hughes, MD · Answer

Hello, thank you for your question. Every surgeon is different, I recommend you to call your board certified plastic surgeon and let him/her know about all the medications that you are taking.

James Knoetgen, III, MD · Answer

Before breast augmentation surgery or any surgical procedure, it's crucial to follow your surgeon's pre-operative instructions carefully. This includes disclosing any medications or supplements you are taking, including herbal medicines, as some substances can potentially interfere with surgery or the healing process. While I can provide some general information on herbal medicines that are often advised to be avoided before surgery, it's essential to consult with your surgeon for personalized recommendations based on your specific medical history and the medications you are taking.

Here are some herbal medicines and supplements that are commonly recommended to be avoided before surgery:

1.) Ginseng: Ginseng can affect blood clotting and may increase the risk of bleeding during and after surgery.

2.) Ginkgo Biloba: Ginkgo biloba is known to affect blood circulation and may increase the risk of bleeding.

3.) Garlic: Garlic may have blood-thinning properties, which can also increase the risk of bleeding during surgery.

4.) Echinacea: Echinacea is believed to stimulate the immune system, which may not be desirable before surgery, as it could potentially increase the risk of postoperative infection.

5.) St. John's Wort: St. John's Wort can interact with anesthesia and various medications, so it's generally advised to avoid it before surgery.

6.) Fish Oil: Fish oil supplements contain omega-3 fatty acids, which can have a blood-thinning effect and may increase the risk of bleeding.

7.) Turmeric: Turmeric contains the active compound curcumin, which may also have blood-thinning properties.

8.) Arnica: Arnica is sometimes used topically for pain and swelling, but there is concern that it might increase the risk of bleeding if taken orally.

9.) Kava: Kava is an herbal remedy used for anxiety and relaxation, but it can interact with anesthesia and other medications.

10.) Saw Palmetto: Saw palmetto is sometimes used for prostate and urinary issues and may have hormonal effects.

Remember that the above list is not exhaustive, and the potential risks associated with herbal medicines can vary widely. It's essential to be open and honest with your surgeon about any supplements or herbal medicines you are taking to ensure your safety during the surgical process.

Your surgeon will provide specific instructions tailored to your individual situation and may recommend discontinuing certain medications or supplements in the weeks leading up to your breast augmentation surgery to minimize potential risks and complications. Always consult with a healthcare professional for personalized advice before making any changes to your medication or supplement regimen.

We would be happy to discuss this with you in more detail. Please visit us online to request a consultation or chat with our friendly appointment coordinators via live chat.

Camille Cash, MD · Answer

It is always best to discuss all medications including over the counter and supplemental medications that you take with your surgeon.  If in doubt if a non essential medication could be detrimental during surgery, it is best to err on the side of caution and discontinue it.  Your surgeon will help guide you.

Connie Hiers, MD, FACS · Answer

It is best to stop all herbals medications prior to surgery. this does include Kratom which could interefer with your blood pressure.

What herbal medicine should be avoided before breast augmentation surgery?

Answers (8)

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