10 Day Post Op Breast Lift/small Reduction?

When is it completely safe to smoke again? ( not chain smoking) but just a few a month. Also today my incision scar seemed to bleed in one spot - but there is also a hard lump there. I am rather worried about this. Should I get this checked out? Thanks!

Doctor Answers (9)

10 days postop breast lift/small reduction.

+1
Hello! Thank you for your question! The issue with nicotine is that it also acts as a vasoconstrictor, clamping down of blood vessels. Blood supply is always of great concern during any surgical procedure, but especially in such a procedure as a mastopexy where the viability of the nipple-areolar complex is obviously important. Since the vascularity to the area is already tenuous since it will be raised by cutting around the area, maximizing blood flow to the tissue is critical.

Typically, we recommend at least 6 weeks of smoking cessation prior to and at least 6 weeks after any surgical procedure. The longer, the better. Nicotine always increases the risk for infection, nipple necrosis, and wound complications, as well as other health consequences. I would discuss this with your surgeon prior to your procedure.  I would get your lump looked at during your next exam. Hope that this helps! Best wishes!


Scottsdale Plastic Surgeon
5.0 out of 5 stars 12 reviews

Smoking after Breast Lift

+1

  It is absolutely essential that smoking does not occur within 6 weeks following breast lift.  A smoker's healing is already compromised, and it may take longer to heal.  The best thing to do is quit after the surgery.

Kenneth B. Hughes, MD
Los Angeles Plastic Surgeon
5.0 out of 5 stars 219 reviews

When is it safe to smoke again after a breast lift/reduction?

+1

You should wait about 6 weeks after your surgery to start smoking again (if you are planning to continue smoking, that is).  Prior to this time, the effect of nicotine on the blood supply to your skin and your nipples may lead to skin/nipple loss, delayed healing, worse scars, etc.

 

Robert M. Grenley, MD
Seattle Plastic Surgeon
5.0 out of 5 stars 70 reviews

You might also like...

Smoking In The Post Operative Period

+1

Thank you for the question. The problem with smoking is that it will diminish the blood supply to the surgical area. This can manifest as wound healing problems, wound infections or even tissue loss. These problems may require more surgery and may permanently alter your final results. If you feel compelled to begin smoking in the post operative period I would to wait till 4 to 6 weeks. The longer you can refrain from smoking the better for your recovery and results.

You should follow up with your plastic surgeon so that he may examine the lump and area of bleeding in your incision. Good luck.

Pedro M. Soler, Jr., MD
Tampa Plastic Surgeon
5.0 out of 5 stars 7 reviews

Don't resume smoking this close to surgery completion.

+1

10 days after surgery, your tissues are still in the early phases of healing and the scars are still gaining strength.  Smoking now (even a small amount ) can rob your tissues of the needed blood supply to heal properly.  So you should not resume smoking until at least 4 weeks after surgery or you risk increased complications.  You should follow up with your plastic surgeon and have the small lump and area of bleeding along the stitch line checked out.

Jeffrey M. Darrow, MD
Boston Plastic Surgeon
5.0 out of 5 stars 34 reviews

Cosmetic surgery and smoking

+1

Smoking is never safe!  Smoking decreases the blood supply in the skin due to a process called vasoconstriction.  It can be very detrimental to the healing process especially after a surgery such as a breast lift where the blood supply to the skin is now more limited than preoperatively.  If you do return to smoking, which I highly suggest that you don't, you should wait a minimum of 4 weeks after surgery.  Also, please have the hard lump area checked out by your surgeon.

Naveen Setty, MD
Dallas Plastic Surgeon
5.0 out of 5 stars 24 reviews

Smoking and breast lift

+1

You should avoid smoking for at least 3-4 weeks after surgery so that the tissues can heal. It really is best to avoid smoking completely.

Steven Wallach, MD
Manhattan Plastic Surgeon
4.5 out of 5 stars 17 reviews

Smoking after Breast Lift?

+1

Sorry to preach but smoking is never “safe”. With concerns such as “hard lump” you should follow-up with your plastic surgeon for direct examination.

Best wishes.

Tom J. Pousti, MD, FACS
San Diego Plastic Surgeon
5.0 out of 5 stars 757 reviews

When is it completely safe to smoke again--don't even think about smoking

+1

Well it is never completely safe to smoke. 

As far as the risks to your surgery, I would say 6 weeks. The lift itself decreases the blood supply to the lifted breast skin by dividing many small blood vessels that nourish the skin. Nicotine adds a further insult by narrowing the remaining blood vessels and further decreasing the blood flow to the point that some patients suffer skin loss or severe would healing problems any of which may result in more surgery needed!

 

Thanks and best wishes. Protect your result!!

 

Jourdan Gottlieb, MD
Seattle Plastic Surgeon
4.5 out of 5 stars 31 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.