When to Start Taking Arnica Montana and Bromelain? Before or After Surgery?

I'm Having a lower body lift in 3 days and i'm not sure when to start taking this medication?

Doctor Answers 4

Vitamins & Supplements Can Interact with Medications At Time of Anesthesia

Thank you for your question.  Arnica and Bromelain is often recommended to help reduce bruising after cosmetic procedures such as facelifts and liposuction.  The scientific studies suggest they may help but are not strongly convincing due to flaws in study design that are difficult to overcome.  They may or may not be helpful and are probably not harmful.  There are some risks associated with taking vitamins and nutritional supplements before surgery such as interactions with narcotics and anesthetic medicines.  In your case Arnica and Bromelain are unlikely to significantly change your recovery from a body lift, but could contribute to bleeding in a procedure that has some risk.  Bruising can also be covered with clothing in comparison to the face where it cannot without camouflage makeup. My recommendation would be to start it after surgery to reduce any risk of interactions or effect on bleeding.  Be safe & Best Wishes! 

Bromelain and arnica

I am not a big fan of arnica or bromelain.  The research in the journals do not support its use much. 

Steven Wallach, MD
New York Plastic Surgeon
4.0 out of 5 stars 22 reviews

When to start taking Arnica Montana and bromelain?

Hi Dana, I would not take Arnica Montana or Bromaline at all. Arnica Montana and Bromaline may slightly decrease the bruising and they may slightly decrease the swelling. However, they are known to have significant side effects. Please be sure you know the side effects before you start taking this medication these medications. I do not use Arnica or Bromaline at all in my practice. I especially do not use these medications for lower body lifts. The complication rate and side effects are just too high. Congratulations on your weight loss. Good luck with your surgery.


Dr. Katzen

J. Timothy Katzen, MD, FACS
Los Angeles Plastic Surgeon
5.0 out of 5 stars 75 reviews

Begin Arnica and Bromelain Before Surgery

I would suggest that you begin your Arnica Montana and Bromelain before your body lift.  These herbal medications help to minimize swelling and bruising.  I recommend a product called Arnika Forte.  It combines both Arnica Montana and Bromelain in a single capsule.  Patients begin the day before surgery and continue for 6 days after surgery.  Good luck with your upcoming procedure!

Mark Schwartz, MD
New York Plastic Surgeon
5.0 out of 5 stars 19 reviews

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