Smoking - STOP IT
By the way, the no smoking rule applies as well to the use of patches or any other source of nicotine no matter how small the dose. No nicotine is allowed to be ingested in any form at least three weeks prior to surgery. Failure to comply with this rule can result in complications such as, as an example, Necrosis, which is where, due to the body's constricted blood flow caused by nicotine in the bloodstream, the fresh incisions are deprived of the proper amount of healing oxygen and can result in the skin literally turning black and dying. After a year or more, the patient ends up with an incredibly unsightly scar. If you're a lucky smoker (that is pretty much a contradiction of terms if you ask me) you will heal from the surgery without complications. It's up to the patient unless Dr. Lev can tell that you smoke at your consultation appointment, to decide whether or not it is worth taking the risk of Necrosis or to just wait till you've stopped smoking before booking your surgery.
STOP taking these two weeks prior to surgery
It is always wise to consult your physician when discontinuing any drug you take on a regular basis. If you are taking any medication that is prescribed for you like blood pressure medications, anti-depressants, heart medications like Lipitor, etc. please be sure to continue these medications throughout this entire surgery process. DO NOT STOP THOSE MEDICATIONS AT ALL, BEFORE OR AFTER SURGERY. If, however, you take Coumadin or any of its generic forms, you must get permission from your heart doctor to go off of the Coumadin two weeks prior to surgery and then you can resume after surgery when Dr. Lev clears you for it. Coumadin is a blood thinner and you must stop all blood thinning agents two weeks prior to surgery.
If you are unsure about the drug, herb or vitamins you are taking it is probably best to consult your physician.
And of course, if you are a smoker, Dr. Lev recommends that it is best for you to stop smoking completely at least one - two months prior to surgery. Smoking hampers circulation and circulation is of the utmost importance during the healing process. This point cannot be stressed enough.
And always.....when in doubt about ANYTHING AT ALL, please feel free to contact us.
Here is a list of some medications you should stop before surgery
- Any drugs containing aspirin
- Anything containing Vitamin E
- Coumadin or any other blood thinning agent**
- Anti-Inflammatories of any kind
- Arnica or any homeopathic medication
- Smoking of any sort
**Coumadin patients please note that you must consult your physician before going off the drug. It can be extremely dangerous to get off of Coumadin without a doctor's guidance.
Please STOP taking the following supplements prior to surgery. All the supplements listed below should be stopped two weeks prior to your surgery.
Supplements That Can Cause Bleeding Problems
- Arnica montana
- Baical skullcap root.
- Bak foong pill
- Birch Bark
- Black Cohosh
- Chines peony
- Chinese agrimony
- CoQ10 (may interact with blood thinners like warfarin and diabetes drug insulin)
- Dan Shen
- Devil’s claw
- Dong Quai
- Fish oils (omega-3 fatty acids)
- Fritillaria bulbs
- Geum japonicum
- Gingko Biloba
- Glucosamine and chondroitin
- Grape Seed Extract
- Green tea
- Guilinggao (tortoise jelly)
- Japanese honeysuckle
- Milk Thistle
- Oil of wintergreen
- Poncitrin (jishi)
- Primrose Oil
- Saw palmetto4
- Seasonal tonic tea
- St Johns Wort
- Ta gastronol tea
- Turmeric and curcumin
- Vitamin E
Supplements Safe To Take Before Surgery
The following supplements are fine to continue before surgery.
- Bak foong pill
- Protein and Amino Acids
- Vitamin A
- Vitamin B (complex) / B1 (Thiamine), B2 (Riboflavin), B3 (Niacin), B6, Biotin
- Vitamin B12
- Vitamin C
- Vitamin D