I'm having revision lower blepharoplasty next month. I had bruising for 6 weeks after the first surgery. Do you recommend Bromelain and/or Arnica before surgery as well as after? My Dr. seemed somewhat indifferent to there use. If I do take these herbs, how much and when should I start taking it? I really don't want to be in hiding for another six weeks!
Bromelain And/or Arnica Before Surgery?
Doctor Answers 25
Arnica for Blepharoplasty
Arnica pills when taken starting the day before surgery and after surgery until any possible bruises are gone will reduce bruising and make them go away faster if you get any. Arnica cream afterwards helps as well if needed. Also avoid aspirin and ibuprofen for 10 days prior to surgery.
Reduce Swelling after Eyelid Surgery
For eyelid surgery, 4 main treatments exist for minimizing bruising, but unfortunately no "silver bullet" prevents completely. The first is starting Bromelain & Arnica prior to surgery. (A few studies in the medical literature show improvement but admittedly others show no difference). The second is largely out of your control and involves surgical technique. The third treatment is 48 hours of post-operative icing. Ice remains one of the most powerful anti-inflammatory agents, and I advise a maximum of 30 minutes every hour. After that period, transitioning to warm packs also helps. The fourth treatment for facial bruising that is remarkably effective is a Pulse-Dye laser. It will not erase the bruise but it can fade it significantly and speed the rate at which it disappears.
Best of luck in your recovery.
Arnica for surgery
Bromelain is a botanical extract with natural anti-inflammatory and other beneficial properties. It can help decrease inflammation, swelling and pain that often accompany a surgical procedure.
Arnica Montana has been touted as causing decreased bruising, swelling and pain associated with surgery or soft tissue injury. with our homeopathic Arnica Montana.
For a thorough explanation of the beneficial effects of Bromelain, see the below link to an article I wrote on the subject
The optimal dosage is not known. I would recommend purchasing it from a company that specializes in pre-surgical medicines such as Vitamedica. You can contact my office if you are not able to find it elsewhere.
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Arnica Before Blepharoplasty
I routinely recommend Arnica before and after surgery. This can be purchased at most pharmacies, over the counter. There are instructions with the medication of when it should be taken and should be started the evening before surgery. So, don't look at the package the morning of surgery because it may already be too late. Remember that these medications are herbal and not FDA approved. So, the studies demonstrating effectiveness are not great. I have attached a link to a patient who is one week out from a lower blepharoplasty (and facelift/browlift, lip augmentation) that I consider a normal, expected amount of bruising after having taken Arnica.
Arnica Forte and Bromelin Control Bruising in Blepharoplasty
While preparing for surgery, I do recommend that patients begin taking the herbal supplements Arnica Forte and Bromelin at least two weeks beforehand. These herbs can help prevent excessive swelling and bruising after surgery. I also recommend discontinuing blood-thinning agents, such as aspirin, alcohol, fish oil and multivitamins, for at least two weeks before the surgery and several weeks afterward. I hope this helps.
Arnica and Bromelain before surgery! #vitamedica #bromelain #arnica
Great question? We have supplements that our patients take two weeks before surgery and two weeks after. Vitamedica was designed by an anesthesiologist to help prepare the body before surgery and after surgery. Just the right ingredients are used for optimal healing before and after your cosmetic procedure. I highly recommend these vitamins to my patients and find that their recovery time has been reduced significantly.
Herbal supplements for bruising
Bromelain And/or Arnica Before Surgery?
There certainly are measures, to take, pre-operatively that decrease the bruising from a Rhinoplasty or Eyelid Surgery. Avoid Vit C, E, Fish Oil, Niacin, Zinc and all other know blood thinners. Arnica 12-C is what we recommend for our surgical patients to limit bruising.
Pineapple works great to reduce bruising
I perfrom oculoplastic eyelid surgery exclusively. I ask my patients to start eating at least a cup of fresh pineapple starting three days before surgery and to keep it up for a few days after surgery. Pineapple contains Bromelain. Most of my patients have very little bruising at their 1 week follow up appointments. Of course, you are now having revisional surgery which may be a little more complex and with scar tissue, may cause more brusing. Of course, keep your head elevated for 1-2 weeks after, ice as much as you can the first couple of days, and avoid any strenuous activity.
Good luck and I hope this helps!
First of all I really appreciate patients that are willing to invest time and prep in preoperative readiness. It does make a difference. That being said, this is something that you really need to establish with your surgeon. It can affect the way I approach cases and alter my technique in select situations.
I also often start a topical skin treatment such as a 0.5% retinol. Again though, I want to stress to check with your surgeon.
The over the counter strength Arnica is perfect for pre operative treatment. I ask patients that are willing to start 14 days prior. Also it is key to avoid any blood thinning medications and foods.
Hope this helps,
Best of luck,