I will only have 11 days smoke free. I need to reschedule right??? I am so mad at myself, I could scream!!! I also have factor 5 leiden and prothrombin mutation.
Smoking and Scheduled for BA and BL 5/22/12. Am I Safe?
Doctor Answers (19)
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Smoking and breast augmentation with a lift.
From your name it appears that you are an RN. No wonder you are concerned. Well, you did not tell us if the 'breast lift' is mini (purse string) or full lift(key hole). For the mini lift, my recommendation is to stop smoking 2-3 days before surgery to reduce nausea and coughing. For full lift, my recommendation is to stop smoking 2 weeks before surgery. So. for augmentation with mini lift you can still proceed, however, for the full lift reschedule.
Best of luck,
In breast augmentation I have chosen to spend time reviewing photographs with patients to fully understand their expectation of size and shape. Many times this simply raises more questions. I will make measurements and use the implant guides to allow the patient to understand exactly the sizes that are reasonable for their body type and measurements.
Please find an experienced Board Certified Plastic Surgeon and member of the Aesthetic Society using the Smart Beauty Guide. These Plastic Surgeons can guide you on all aspects of facial surgery, breast augmentation and body procedures including tummy tucks or mommy makeovers!
Smoking and Breast Lift
I would reschedule your breast lift if you have smoked within three weeks of surgery. Your chances of healing beautifully is much lower if you have been smoking. Since cosmetic surgery is elective, why not offer yourself the best results?
In addition, smoking increases coagulability, and if you have a hypercoagulable state, you increase your risks by doing surgery now. Your doctor may also want to consider Xarelto or Lovenox 24 to 48 hours after your procedure.
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Smoking plus Hypercoaguability = Russian Roulette
First of all, with your genetic tendency towards abnormal clotting - you need to stop smoking whether or not you have the surgery. Basically you have a disorder tha makes you hypercoaguable.That is, you have a markedly increased risk for have a venous blood clot (deep venous thrombosis) that can travel to your lung (pulmonary embolus) - by smoking your are greatly increasing that risk even if you do not have surgery. Here is another reason you should quit - you It has been estimated that the relative risk of capsular contracture (abnormally hard and potentially distorted breasts) following smoking increases by up to thirty times that of a non-smoker.
Smoking before Surgery
Smoking causes several complications for surgery patients. Generally, I wouldn't require patients to quit smoking for surgery, although they would have a smoother post op vourse if they do. I do require them to stop smoking at least 2 weeks prior to surgery and 2 weeks after. If you haven't been at least 2 weeks smoke free I would recomend taht you reschedule your surgery.
Smoking, Factor V Leiden mutation and breast surgery
Do you need to take Coumadin daily too ? Have you had any blood clots yet ? you do not provide much information...
If you were my patient, I would tell you your elective breast surgery can wait.
You should spend all your energy in trying to stop smoking before it seriously impairs your health with a DVT or even worse, a Pulmonary embolism. You are at a very high risk, and surgery is another added extra risk.
you need to be healthy for you and your children first.
once you can stop smoking permanently, you would need clearance from your hematologist too.
Smoking and Surgery
Smoking increases the risk for surgery.The risk is greatest for individuals who are actively smoking but persists even in individuals who have stopped.
Smoking and breast augmentation/mastopexy
There is not yet a consensus on exactly how long you need to be smoke free to minimize your risk of problems with cosmetic surgery. But most studies that have been done to try to answer this question suggest waiting more than 11 days. In my practice, I would require 4 weeks smoke free and suggest at least 6 weeks before a breast lifting procedure. You probably could have the surgery without any problems, but there is no reason to increase your risks with an elective surgery. The factor 5 leiden mutation is another issue. There are different degrees of factor 5 leiden deficiencies, most of which are not a contraindication to this surgery, but should be discussed with your surgeon and possibly your hematologist.
Nicotine use + Leiden Mutation + Breat Lift = Potential Surgical Disaster
We ALWAYS need to differentiate between NECESSARY surgery (surgery done to save lives or preserve function such as Mastectomy, Appendectomy, Coronary Bypass, Cancer Surgery) and Cosmetic Surgery (Surgery done SOLELY to improve appearance). This is NOT the same as ELECTIVE surgery (ANY surgery where we CHOOSE / elect the time of the surgery) , the opposite of which being EMERGECY Surgery (done whenever surgery cannot be delayed).
A Leiden mutation is associated with an increased risk of blood clotting in general, especially in smokers, the obese and in operations lasting more than 2 hours. Blood thinning medication is usually used to reduce such risks.
Nicotine is associated with a long-term fall in circulation in the skin. This can be associated with several healing complications and wound separation / death of the nipple complex in Breast Lift, especially when done together with a Breast Augmentation.
Personally, I prefer a MONTH free of Nicotine. Can you "get by" with less? Maybe. Is it really worth finding out? I would would reschedule the surgery.
Peter A Aldea, MD
Stop smoking prior to and after surgery
Stop smoking now and you should be fine. It is always better to stop at least 2 - 4 weeks prior to surgery and equally important to not smoke after surgery as well. Since there is a degree of undermining performed with a breast lift you are at risk for some wound healing problems. Also discuss your blood clotting factor problems with you plastic surgeon and you may need to have a consultation with a hematologist prior to surgery.