The use of complimentary or "natural" medications and the subsequent impact on post procedural complications highlights the need for adequate consultation and communication between patients and healthcare providers. As clinicians we know that bruising post treatment is one of, if not, the biggest concerns for patients undergoing aesthetic procedures like lip filler, so it is imperative that a thorough consultation is undertaken to identify potential bleeding or bruising risks prior to treatment.
With this in mind, the use of complimentary medications is on the rise worldwide, with over 80% of the world’s population relying on herbal medicines to maintain health and wellness. Like pharmacy medications, they have indications and potential side effects. However, unlike traditional medications, it is estimated that only a third of patients disclose their use when undergoing a medical treatment. As healthcare professionals, we can be guilty of using medical terminology or jargon which can be confusing for patients or even focusing our medication assessments on traditional causes for bruising like anti-platelet agents or non-steroidal anti-inflammatories, and avoiding discussing the use of complimentary medications like fish oil or flaxseed.
Our perceived lack of interest in knowing about complimentary medication use can lead to patients feeling uncomfortable about disclosing their use due to embarrassment or lack of understanding about their potential side effects and relevance to their procedure.
If patients were to disclose that in addition to the Ibuprofen they have been asked to discontinue prior to a dermal filler procedure, they have also taken fish oil, flaxseed, chamomile or Vitamin E, we may find that we see improved rates of bruising and dissatisfied patients.
As healthcare providers, ensuring not only that we communicate openly and thoroughly with our patients but increasing our knowledge on common herbal supplements will enable us to drive those conversations with our patients leading to greater patient results.
