Plastic Surgery and the Importance of Supplement Consideration
After scheduling your plastic surgery appointment, a multitude of preparations must be addressed. This includes organizing aftercare and fostering a calm, stress-free mindset prior to the procedure. Among these preparations, reassessing your supplement intake stands out as a critical yet often overlooked task. Even herbal supplements can have significant effects, such as thinning the blood (which complicates wound clotting post-surgery) or interfering with anesthesia.
"It's essential to follow your plastic surgeon's recommendations regarding discontinuing supplements and homeopathic treatments, as well as adjusting your diet before the surgery," advises Dr. Gary Lawton, a board-certified plastic surgeon based in San Antonio, Texas. He emphasizes that the specific recommendations will differ based on the type of surgery, your medical history, and your surgeon's preferences. "Always consult your plastic surgeon for personalized advice."
With these general guidelines in mind, it's crucial to communicate with your doctor to ensure you are fully prepared. Here are the supplements you should consider consuming and avoiding, both before and after the surgery.
Supplements to Cease Before Surgery
Before surgery, there are two types of supplements that should be avoided: those that increase the risk of bleeding and those that might interfere with anesthesia. "While most medications and supplements can be continued, we always advise our patients to stop blood thinners," says Dr. David Shafer, a board-certified plastic surgeon in New York City. This includes both standard medications and supplements with similar effects.
Which Supplements Thin the Blood?
While a single clove of garlic in your meal is unlikely to cause issues, garlic supplements and excessive garlic consumption can have blood-thinning properties, according to Dr. Lawton. Other herbal supplements like ginseng, turmeric, and curcumin also possess anticoagulant qualities, affecting your blood's clotting ability.
Additionally, ginkgo biloba is known for its antiplatelet effects, which prevent red blood cells from clumping together and can increase the risk of bleeding, as noted by Dr. Lawton. High doses of vitamin E can also elevate the risk of bleeding.
Which Supplements Interfere with Anesthesia?
Certain supplements can affect the efficacy of anesthesia or make it less predictable. For instance, St. John's wort, commonly used to treat mild depression, "can interact with anesthesia medications," says Dr. Lawton.
Moreover, valerian root, used as a natural sleep aid, "may enhance the sedative effects of anesthesia," he adds. Given the precise administration of anesthesia for each procedure, it's wise to stop taking these supplements well in advance.
When to Stop Taking Supplements
According to Lisa Calhoun, RN, a nurse manager at Madnani Facial Plastics, you should discontinue your supplements two weeks before and after the surgery. This provides a substantial buffer period to minimize any potential effects.
Supplements to Take After Surgery
During recovery, your primary focus should be on supporting the healing process and minimizing complications. Supplements can be an optional but significant part of this process. "While scientific evidence supporting homeopathic remedies is limited, several supplements and lifestyle practices can aid healing, reduce swelling, and support the immune system post-surgery," asserts Dr. Lawton.
Which Supplements Aid in Bruising and Swelling?
To manage temporary post-operative side effects like bruising and swelling, certain supplements can be beneficial. Arnica montana is a well-known homeopathic remedy for bruising. "Although the scientific evidence supporting its effectiveness is limited, some find it helpful," says Dr. Lawton, who also recommends bromelain as an excellent anti-inflammatory option. "Bromelain, an enzyme found in pineapple, may help reduce inflammation and swelling."
Another option is vitamin K, which aids in clotting and thus reduces the risk of bleeding. This makes it useful for minimizing bruising, as noted by Dr. Shafer. However, it's usually unnecessary if you're already taking arnica and bromelain and is not recommended if you have a history of blood clots.
Which Supplements Support Immune Function?
Supporting your immune system post-surgery can aid recovery and enhance protection against infections. Vitamin C is one supplement that "plays a key role in collagen production and wound healing," states Dr. Lawton. "Adequate vitamin C intake can facilitate wound healing." While you can get it from fruits and vegetables, consult your surgeon for the appropriate dosage if you take it in pill or capsule form.
Dr. Lawton also recommends zinc, which can contribute to both immune function and tissue repair. However, avoid exceeding the recommended daily amount (11 mg for men and 8 mg for women), as this could be harmful.
Ultimately, vitamin C, arnica, and bromelain are commonly suggested for patients, although their use is optional. Patients "can start taking them a few days before surgery and continue for two weeks after," says Calhoun.
Regardless of your supplement choices, remember that "what works for one person may not have the same effect for another," as stated by Dr. Lawton. Discuss the options with your doctor to ensure the right supplement combination for you.
