A recent report in the March/April issue of Aesthetic Surgery Journal discovers that almost one half of plastic surgery patients have been using herbal supplements in the weeks ahead of their upcoming surgery. Many of these include such ginkgo biloba, ginseng, garlic, echinacea, and valerian root. Many people don’t know that these supplements are able to have negative effects that are rather relevant to surgery including interaction with different medicines (anesthetic drugs) and alteration of one’s ability to clot properly. Despite the point that the dangerous unwanted effects of several herbal dietary supplements have been widely publicized, many patients do not fully appreciate the value of discontinuing these treatment options prior to surgery. Furthermore, the unregulated manufacturing standards as well as lack of merchandise regulations for the entire supplement industry is able to make herbal supplements whose actual contents and quality vary considerably. The majority of the time, nobody really knows what’s actually inside those tablets.
As a consequence, I deliver my patients prior to surgery an extensive list of supplements that must be avoided in the weeks before and after surgery to minimize potential surgical complications. Stopping particular herbal supplements before surgical procedure is equally as important as stopping aspirin, ibuprofen, and plavix. One should stop taking them 2 weeks prior to and for one week following any major plastic surgery procedure which requires an anesthetic and it is more than merely a minor operation.
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