I just read the section on smoking and feeling quite anxious now. I'm scheduled for surgery in 2 days and wondering if I should reschedule. Ironically, I workout 5-6 days@week, approximately 2-3 hours@day. Most of my workout routine is outdoors during the early morning hours (3-5am) and includes cycling(10-15miles), walking(5-10mi), stair climbing(20min). Indoors my routine includes yoga, tai chi, and strength training. Should I reschedule and clear my system?
I Smoked and my Surgery 2 Days Away! Reschedule?
Doctor Answers 12
Smoking and surgery
thanks for the post. Smoking is a strong risk factor to the success of your surgery. I generally recommend patients to eat healthy, take a multivitamin, and stay away from smoking at least a week before surgery. However, it's also important to avoid second hand smoke as the carbon monoxide is the prime issue that affects oxygenation of the tissues and quality wound healing.
it's true that the half life of carbon monoxide is 80 minutes, however, from my experience, patients who have ever smoked up to the day of surgery never heal as well as those who quit the week before. Some doctors will have different opinions about this, but it's VERY important to discuss this with your PS and make sure he /she is ok with this.
Hope your procedure goes well regardless.
Bennett Yang, MD
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I Smoked and my Surgery 2 Days Away
Thanks for the question. Damages caused to body depends upon the extent of smoking and for the duration in years that one smoked. Surgery that has flaps like TT and Face lift are at a greater risk than surgeries that have no flaps like Breast augmentation. Breast reduction and a breast lift has a larger risk than .If you smoked few times the risk may not be as great as you think. However there are individual variations as how most PS take smoking and therefore its best to inform your PS. Wish you all the best.
Smoking? Your surgeon should know.
Some cosmetic procedures, tummy tuck and facelift, can be quite problematic for smokers. Other procedures such as breast augmentation or rhinoplasty, not so much so. Either way it is best to let your surgeon know what you have been up to so he can advise you.
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Smoking before surgery
It is true that smoking prior to surgery definitely increases risks related to the surgery. Having said this, the risks involved vary in nature and degree depending on the procedure. There are some higher risk procedures in my practice that I will not perform unless the patient has quit smoking for several weeks. There are other procedures where the increased risk is minimal.
You should definitely mention your smoking to your surgeon and ask if it will significantly affect your surgery. Your surgeon is the best judge of the risks involved.
Smoking and plastic surgery
You should notify your plastic surgeon today and ask this question immediately. Depending on the kind of surgery you are having, there can be serious consequences from smoking. These surgeries where smoking is most dangerous are primarily tummy tucks, breast lifts and reductions, and facelifts. But nicotine can affect healing in all surgery because of altered blood flow.
If your doctor warned you about this and gave you instructions to quit for a period of time before surgery, then you have not complied with instructions and it is not reasonable to put an unfillable hole in their OR schedule without financial penalty.
I smoked and my surgery is 2 days away! Reschedule?
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, poor scarring, and wound complications, as well as other health consequences including blood clots. The anesthesia risk is greater with general anesthesia as well as pulmonary issues/lung infections postoperatively. I would discuss this with your surgeon prior to your procedure. Hope that this helps! Best wishes!
Smoking and Surgery
Smoking before surgery
Good question without an easy answer. Smoking can undoubtedly affect wound healing and some surgeries are more potentially affected than others. Discussion with your surgeon will help determine whether or not you need to postpone.
Smoking and Breast Reduction
I have not performed a breast reduction on a smoker. Smoking does increase the risk for complications and compromises blood supply. Kenneth Hughes, MD Los Angeles, CA
Breast Reduction after Smoking?
Ultimately, only you and your plastic surgeon will be able to make the decision whether to proceed with surgery or not. Undoubtedly, smoking (or ose of nicotine of any kind) will increase risks associated with breast reduction and many other types of plastic surgical procedures.
Best wishes; hopefully will be very pleased with the outcome of the procedure ( whenever it is performed).
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.