Other common supplements taken by patients in the study that may cause dangerous side effects included gingko biloba, goldenseal, milk thistle, ginseng, kava and garlic.

In addition to having a greater tendency toward taking herbal supplements, 35 percent of plastic surgery patients were more likely to engage in homeopathic practices, including acupuncture, hypnosis, chiropractic manipulation, massage, yoga and Pilates. Only six percent of the general population practiced homeopathics on a weekly basis.

"Patients should tell doctors about all of the medications they are taking natural or prescribed. Only then can we safely suggest the appropriate discontinuation period, which can range from 24 hours to one month," said Dr. Bradley. "Taking this precaution is essential to a safe surgery and smooth recovery."

For referrals to ASPS Member Surgeons certified by the American Board of Plastic Surgery, call 888-4-PLASTIC (475-2784) or visit www.plasticsurgery.org where you can also learn more about cosmetic and reconstructive plastic surgery.

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