What Type of Arnica Works Best?

What type of Arnica works the best for bruising after a cosmetic surgery procedure- Arnica Montana, Arnica gel, Arnica tablets, or something else? What makes one type better than another?

Doctor Answers 4

Arnica montana pellets are more effective than arnica gel or cream

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As a cosmetic Dermatologist, I recommend my patients prepare for their filler appointments by beginning 4-5 arnica montana pellets sublingually (under the tongue) every few hours for two days before their appointment, and following again for another two days.

This harmless homeopathic, widely available nontoxic preparation can be easily found in health food stores. It is known to help decrease the potential bruising that can come with filler injections and speed healing.

We also recommend stopping the intake of aspirin-containing compounds for 10 days prior to filler sessions also to decrease bruising. And if the patient is a known "bruiser", we recommend ceasing the intake of extra vitamin E as well as garlic for a week before the injection session.

Arnica also comes in a gel or cream form, which is helpful as well, but not quite as effective as the sublingual pellets.

Manhattan Dermatologic Surgeon

Arnica Montana is Essential for Procedures: Bruisestick Arnica Montana

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Bruising after a procedure can be minimized by standardized Arnica montana. Pellets purchased in a grocery store or health food store are often not standardized.

I recommend Bruisestick to my patients. It is standardized and safely applied to the skin surface. Bruisekare is also appropriate, as it comes in a standardized tablet taken three times daily.

Raffy Karamanoukian, MD, FACS
Los Angeles Plastic Surgeon
4.8 out of 5 stars 95 reviews

What type of Arnica works best?

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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!

Lewis Albert Andres, MD
Scottsdale Plastic Surgeon
5.0 out of 5 stars 28 reviews

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Arnica: Which Brand Is Best For Surgery: BruiseKare

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Arnica is effective for the reduction of bruising, edema, and inflammation associated with surgery.

In our clinical experience, we have found the most effective brand of  arnica montana to be the Bruisestick  that is used three times daily before and after surgery.

In terms of topical brands, the best standardized form of Arnica is BruiseStick, which is available commercially in the United States.

Non-standardized pellets and creams are inappropriate for surgery or injections as they are not standardized to surgical doses.

Ask your physician for these brands.

Raffy Karamanoukian, MD

Raffy Karamanoukian, MD, FACS
Los Angeles Plastic Surgeon
4.8 out of 5 stars 95 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.