Can You Smoke Nicotine-free Electronic Cigarettes Before a Tummy Tuck?

I ordered and started smoking E-cigarettes from Green Smoke in order to quit smoking cigarette's But, after more research I found it was the Nicotine that is bad. So, my question is...if I ordered and started smoking E-cigarettes with Nicotine-free filters (just flavored water vapor) before my surgery, would that be okay?

Doctor Answers (5)

Nicotine-free electronic cigarettes are a bad idea.


Though the electronic cigarettes you are asking about have a "nicotine-free" flavor only vapor effect, why must you simulate smoking at all? You already know nicotine is the problem, and "smoking" these e-cigarettes only makes others around you want to light up. Their REAL cigarettes! With real second-hand nicotine!

Second-hand smoke is just as bad for you as smoking yourself!

Even 1 cigarette, even exposure to second-hand smoke, even 1 Nicorette gum (you get the idea) can cause enough vasoconstriction that you could end up with a dead belly button, or dead suprapubic skin requiring prolonged dressing changes for an open wound, skin grafts, and additional reconstructive surgery. Forget the cosmetic result--now your surgeon is just trying to get your abdomen healed!

I do not perform surgery on smokers, as it shows inadequate commitment on the patient's part in obtaining a safe good result. And of course, you know who is expected to "fix things" when these problems develop, even though circulation problems are almost always preventable by compliance with NO SMOKING requirements!

If your surgeon asked you on the morning of surgery "Is it OK if I don't do my best work today? I can't seem to focus on the important things about your case; it's too hard" would you cheerfully go ahead? That, dear lady, is what you just asked--and you already know the answer! One more example, just in case I am being too obtuse. If your teenage daughter asked you if it was OK to have "pretend sex" with her boyfriend, what would your answer be?

Truly, I'm not trying to be mean or rude, but even though nicotine-free flavor-vapor electronic cigarettes may be "technically" safe, the risks of second-hand smoke, or simply falling off the wagon are too great, and you really don't want dead skin or belly button! Honest! You may wish to consider Zyban or Chantix--ask your doctor and good luck!

Minneapolis Plastic Surgeon
5.0 out of 5 stars 109 reviews

Smokin E-cigarettes before tummy tuck surgery


Although, smoking E-cigarettes with a "nicotine-free filter" is probably better than smoking real cigarettes around the time of you tummy tuck surgery, I would suggest you don't smoke anything at all.  Even though the manufacturer claims these filters are nicotine free, if these cigarettes do anything to alleviate the cravings, they must deliver some nicotine to your blood stream.  Any amount of nicotine or other chemical found in normal cigarette smoke can and does cause vasoconstriction (spasm and narrowing of the blood vessels) in the skin and other tissues and can result in serious wound healing problems.  Don't smoke!

Vincent D. Lepore, MD
San Jose Plastic Surgeon
5.0 out of 5 stars 16 reviews

Smoking and Surgery Complications.


Smoking is BAD for your health period, and even worse when considering surgery. The nicotine in cigarettes clamps down the blood vessels and and there is less oxygen in the blood. With  the decrease in blood flow, there is an increased risk of the skin dying in the area of surgery.

E-cigarettes are better, in that you do not have the carbon monoxide from the smoke, but you still have the nicotine. Nicorette or nicotine lozenges are not good either, as they have nicotine in them.

If your E-cigarettes have only water vapor in them then that should be fine, but make sure  there are no other ingredients that may be problematic.

Take home message : SMOKING and surgery together are bad.

Jon M. Grazer, MD, MPH
Newport Beach Plastic Surgeon
5.0 out of 5 stars 4 reviews



At this point I would recommend not to smoke those cigarettes as we really don't know what they are comprised of-i.e are there any ingredients that can cause bleeding etc..   I would avoid them -it' definitely not worth jeopardizing your long term result

Edward J. Bednar, MD
Charlotte Plastic Surgeon
5.0 out of 5 stars 36 reviews

Electronic cigarettes before Tummy Tuck


I don't know what chemicals are in the E-cigarettes you mention.  In general when we don't know every single substance in a medication like herbal dietary supplements the best advice is to avoid them all together.  Your health and outcome from surgery are too important to take chances.

Sanjiv Kayastha, MD
Albany Plastic Surgeon
5.0 out of 5 stars 20 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.