One of the areas of plastic surgery that don't get much attention are the advances made in the control of swelling and bruising after surgery. Arnica Montana is a plant extract found mostly in Europe. My first exposure to Arnica Montana gel was through a patient who used it on her own after liposuction. She applied it to herself and the difference between where she could and couldn't reach was pretty remarkable so I became a big fan. Bromelain is a pineapple extract. Both substances are in the homeopathic category of treatment so it's hard to find scientific guidelines on usage. We have patients take Bromelain and Arnica by mouth from 5 days before surgery and continue it 5 days after surgery. The Arnica gel is used post-op until the bruising has gone away. You will still get some bruising depending on the procedure, technique etc. but I have found that it is much less extensive and it goes away significantly quicker. These two simple addition have noticeably decreased the amount of bruising and swelling after cosmetic surgery. I have not seen any negative side effects to date.