I Keep Smoking Till 8 Hours Before my Surgery How I Can Know Now That my Nose Skin Now Dies or Any Damage Caused?

I had rhinoplasty last Thursday which took 3 hours and tho my surgeon knows that I'm smoker he didn't tell me anything about stopping smoking because healing process ... And I didn't know as well ... Just afraid surgery I start reading articles and now I'm worry and don't know what do to ... And actually 18 month ago I had another surgery for fixing broken bones (26)in nose and also breathing problem and it took 4 and half hours and that time i wasn't smoker , I started smoking last year

Doctor Answers (5)

If you have skin necrosis you will have to consider the smoking as part of the problem



Thank you for the question.  Smoking impacts healing in several ways and perhaps most importantly at the micro-circulation level (in the skin).  If your skin does not have enough blood supply it will die which is called necrosis.  This will be evident near your incision at the columella.  Do not smoke during your recovery.  That is the most important thing that you can do at this time.

All the best,

Dr. Remus Repta

Scottsdale Plastic Surgeon
5.0 out of 5 stars 81 reviews

Smoking and rhinoplasty surgery


In general, you will want to avoid smoking at least 6 weeks before and 6 weeks after surgery. Nicotine itself is a vasoconstrictor. When vasoconstriction takes place, surface area inside the blood vessels decreases. This results in poor blood flow and a rise in blood pressure. In effect, healing is greatly compromised. I would highly recommend refraining from any additional smoking, as it can have a negative impact on your healing. It would be a good idea to follow up with your surgeon to ensure you are recovering properly. I hope this helps, and I wish you the best of luck with the remainder of your recovery.

Paul S. Nassif, MD
Beverly Hills Facial Plastic Surgeon
5.0 out of 5 stars 29 reviews

Smoking and surgery


Smoking and surgery do not mix.  Smoking increases wound healing problems significantly. I usually tell patients to at least stop 4 weeks prior and continue 4 weeks after.

Steven Wallach, MD
Manhattan Plastic Surgeon
4.5 out of 5 stars 15 reviews

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Smoking and rhinoplasty


 It his best to stop smoking approximately 2 weeks before and 2 weeks after a rhinoplasty for optimal healing.  tobacco smoke will return to internal healing process of the nose.

William Portuese, MD
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Smoking before and after Rhinoplasty


   If the skin has not died after a few days, most of the time the risk of flap death is small.  You may end up with healing problems, and you really should inform your plastic surgeon and stop smoking immediately.  Kenneth Hughes, MD Los Angeles, CA

Kenneth B. Hughes, MD
Los Angeles Plastic Surgeon
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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.