Smoking Before Breast Augmentation Surgery

I am scheduled for breast implant surgery on July 14th, I quit smoking on June 29th and it is so hard so I did smoke 1 cigarette on july 4th and none since will everything be ok?

Doctor Answers (4)

Smoking before breast augmentation surgery?

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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 breast augmentation 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, 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!


Scottsdale Plastic Surgeon
5.0 out of 5 stars 11 reviews

Ask Your Surgeon About Smoking Before Breast Augmentation

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Cigarette smoke contains carbon monoxide that reduces the ability of the red blood cells in a smoker's body from transporting oxygen throughout the body. The presence of carbon monoxide in the blood is reduced by half when no cigarettes are smoked for four hours and, better yet, is reduced to a safe level if cigarettes are avoided for eight hours. Stopping smoking before and after surgery helps oxygen to more effectively travel throughout the body, an essential tool in warding off infection and successful wound healing. You should ask your surgeon if smoking that cigarette was okay. Only they would be able to adequately let you know.

Jerome Edelstein, MD
Toronto Plastic Surgeon
5.0 out of 5 stars 52 reviews

Smoking and breast augmentation.

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As you can imagine, smoking is bad for breast augmentation, (and surgery in general). When one takes a drag on a cigarette, the chemicals cause vasoconstriction. Wound healing is all about getting blood flow and oxygen to the tissue. I believe that you will find that each doctor may have a different opinion as to how long you need to be off cigarettes. Some will test for nicotine in the system. Best to talk with a board certified plastic surgeon. Also best to quit smoking, (for a variety of other health reasons as well).

Jeffrey Roth, MD
Las Vegas Plastic Surgeon
4.5 out of 5 stars 7 reviews

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Smoking and Breast Augmentation

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   I typically recommend the cessation of smoking for one month prior to any elective procedure and for at least 6 weeks following the procedure.  Kenneth Hughes breast augmentation Los Angeles, CA

Kenneth B. Hughes, MD
Los Angeles Plastic Surgeon
5.0 out of 5 stars 192 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.