I am scheduled for a deep plane mid facelift and have been a light to moderate smoker for nearly a decade. I stopped smoking but it will be only 21 days of no smoking before my surgery (and I won't smoke at all after obviously!) I am 31 and in good health. Should I be worried?
Light Smoker Quitting 3 Weeks Before Deep-plane Midface Lift?
Doctor Answers (9)
Stop Smoking Before Midface or Facelift Surgery
My experience is that the less you smoke the better and the longer you have stopped prior to surgery the better. A recent scientific article in the Archives of Internal Medicine indicated that, among all forms of surgery, quitting smoking eight weeks prior was never associated with an increased risk of complications. Three weeks is better than two, but 2 months would even be better. Most experts unanimously agree that smoking increases the risk of most surgical complications significantly. Just about all plastic surgeons strongly recommend women to stop smoking and all nicotine products well in advance of all plastic surgery and especially lift procedures.. Many plastic surgeons recommend stopping all tobacco products several months prior to surgery.
Here is the reason why: the nicotine in cigarettes and other tobacco products (including Nicorette gum, patches, etc) is a vasoconstrictor, meaning it makes the Smoking is a significant multiplier of many potential complications following surgery and breast augmentation with implants are no exception. Nicotine from smoking causes blood vessels to constrict ( spasm or tighten up). Over time, these constricted arteries and capillaries deliver less blood to the tissue which is needed for normal healing. Smokers therefore have an increased incidence of higher likelihood of complications such as tissue sloughing (death by necrosis) and infection. General complications of surgery such as blood clots, anesthetic problems such as pneumonia are also increased.
As an aside most people are unaware that smoking greatly accelerates the age of your skin and will shorten the beneficial effects of your cosmetic lift procedure.
Facelift and smoking
I advise my patients to quit smoking at least for two weeks prior and two weeks after. Unfortunately, sometimes, they do not abide by this so I vary my cuts as well as how I do my facelift in order to try and avoid the potential problems of smoking. Watch my video.
Smoking and cosmetic surgery
Most people who are 31 years of age do not need a deep-plane facelift. If you decide to undergo a facelift at age 31, it is best to stop smoking for three weeks before surgery and at least two weeks after the surgery. The deep-plane midface lift will not address nasolabial folds. Flat, saggy cheeks are best treated with cheek implants and not a lift.
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Smoking poses risks for elevated flap surgery
You are very right to be concerned as smoking with any type of facelift surgery increases the risk of delayed healing from compromised blood flow as a result of the some of the vasoconstrictive chemicals in the smoke (same with tummy tucks, arm and body lifts). A deep plane facelift and sub-periosteal mid-facelift will preserve a more robust blood supply over a skin lift technique, but the increased risk is still present. The question becomes, how long in advance is quitting smoking enough that the flap perfusion physiology is unaffected and your surgical risks then begin to approximate non-smokers.
In the lab, there is basic flap perfusion research that indicates even 10 days may be enough to normalize muscle flap blood flow, but, in a "real life" facelift situation with other factors at play, most physicians will demand at least 3 weeks of complete smoking cessation. Please ensure you consult your facelift surgeon about their smoking before surgery policy and if in doubt, delay the surgery until you are comfortable.
Cessation of Smoking 3 Weeks Prior to Midface Lift
Healing may be delayed, but you should do fine if you truly stop smoking 3 weeks before surgery. Hopefully you will take advantage of this opportunity to quit forever.
Light smoker quitting 3 weeks
Light smoker quitting 3 weeks prior to mid face lift, I have 2 concerns. Are you truly a candidate? And you must be aware of the risks even though you "quit".
From MIAMI DR. B
Deep Plane Mid - Facelift.
Typically smokers should stop 10 days prior and 10 days after a facelift procedure so you should be ok. At 31, sometimes a midface lift is appropriate but very rarely is a deep plane facelift. There is a difference between a midfacelift and a deep plane facelift.
Smoking and Surgery
Congratulations on stopping smoking. You are wise to have concerns on having surgery performed so soon after quitting. I prefer for my patients who are former smokers to have quit smoking for a minimum of 6 months (and preferably longer) prior to having any surgery and especially a face lift.
The blood supply needs to be adequate for healing after surgery and the nicotine from cigarettes or any other type of product that contains nicotine typically constricts the blood vessels which compromises the blood supply. One of the risks you face with an inadequate blood supply is the skin or tissue dying and then you have the possibility of complications that an otherwise healthy, non-smoker would not have after the same type of surgery.
Were you advised to stop smoking by your surgeon?
Yes, medically discontinuing smoking is the most important thing you can do for your health. However, this should not be done immediately prior to surgery. The reason for this is that the lung cillia begin to awake up at about three weeks after discontinuing smoking. This means that you really being to bring up mucus from the lungs. This is not a good thing for a general anesthesia. It is actually safer for you to stop smoking 8 to 12 weeks prior to surgery to allow the lungs to quiet down.
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.