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Are Herbal Supplements Putting Aesthetic Surgery Patients at Risk?
Date:4/14/2009

y. They should also understand that inconsistent and unregulated manufacturing standards and lack of regulation for many herbal supplements mean that quality and dosage may vary considerably among products.

"This article was written to help plastic surgeons and their patients identify potentially harmful herbal supplements, based on the most current scientific research," says Dr. Rowe, who is both a board-certified plastic surgeon and board-certified naturopathic physician. "On the positive side, we also discuss how providing the correct supplements and nutrients after aesthetic surgery can be very therapeutic."

The authors recommend that patients be provided with a comprehensive list of supplements that must be avoided in the perioperative period to minimize potential surgical complications. 

    Herbal Medications to Avoid Within 2 Weeks of Surgery

    Bleeding effects                         Drug interactions
       Gingko biloba                            Echinacea
       Garlic                                   Goldenseal
       Ginseng                                  Licorice
       Fish oils (omega-3 fatty acids)          St. John's wort
       Dong Quai                                Kava
       Feverfew                                 Valerian root

    Cardiovascular Effects                   Anesthetic effects
       Ephedra (tachycardia,                    Valerian root
         hypertension and palpitations)         St. John's wort
       Garlic (hypotension)                     Kava

    Other
       St. John's wort and Dong Quai (photosensitivity)
       Ginseng (hypoglycemia)

"Despite the fact that the dangerous side effects of some herbal supplements have been widely publicized, plastic surgeons still find that many patients do not fully appreciate the importance of discontinuing these treatments before surgery," says Alan Gold, MD, president of th
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SOURCE American Society for Aesthetic Plastic Surgery
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