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Can't Stop Smoking Before my Rhinoplasty, is 2-3 Weeks Pre-Op Enough TIme?

my surgery is on february 4th and my doctor told me I should atleast stop smoking a whole month before my surgery and after the surgery. I think I can handle not smoking after the surgery but I stopped smoking for just one day and I felt really depressed and bored. I heard that I should stop for atleast 2 weeks before the surgery but my doctor said I should stop for a month. so, why is it different with every doctor and what if I stopped smoking for just 2-3 weeks before my surgery,is it OK?

Doctor Answers 10

Smoking before Rhinoplasty

Stopping smoking 2-3 weeks before a rhinoplasty is NOT enough time. Delay your surgery until you have stopped for a month at the very least. I, in fact, require 2 months. It takes that amount of time for the nicotine to be excreted and for your tissues to recover to a reasonable vascularity to make the procedure safe. You are doing this to improve your looks. If you have a complication and a part of your nose dies, the resulting problem will be hard if not impossible to repair and you will live with the disaster the rest of your life.

 


Highlands Plastic Surgeon
5.0 out of 5 stars 4 reviews

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Smoking and Rhinoplasty: Disaster

Smoking in the immediate period before Rhinoplasty brings one word to mind: Disaster.  If you are willing to make the financial and time commitment to have an elective cosmetic surgical procedure, you should make the effort to stop smoking.  Smoking is incredibly detrimental to wound healing and may leave you with less than predictable results.

Stephen Prendiville, MD
Fort Myers Facial Plastic Surgeon
5.0 out of 5 stars 48 reviews

Smoking and rhinoplasty

You dramatically increase your risk of wound healing problems if you smoke and have surgery.  For an elective cosmetic procedure you should stop smoking COMPLETELY at LEAST a month before surgery.  Considering the time and money you are investing in a cosmetic procedure you should take great pains to limit your exposure to risk. 

Do you want your surgeon to wash his/her hands before operating on you? Would you prefer to have your surgeon drunk or sober during the surgery?  Should the surgery center staff sterilize the instruments before using them on you?

C'mon: grow up.  This is not rocket science.  Give up the damn cigarettes or don't have the procedure.

Cigarettes and surgery

Surgery increases the risks of complications and I would not operate on you if you did not stop smoking at least 3-4 weeks prior to surgery. You should speak to your surgeon about his criteria.

Steven Wallach, MD
Manhattan Plastic Surgeon
4.5 out of 5 stars 18 reviews

Follow the advice given

It’s very imperative you follow your surgeon’s advice. It is critical for proper healing and your over all health. You need to speak with your surgeon about this as soon as you can. He/She may have advice to help you through this difficult time.

Philip Young, MD
Bellevue Facial Plastic Surgeon
3.5 out of 5 stars 35 reviews

Can't Stop Smoking Before my Rhinoplasty, is 2-3 Weeks Pre-Op Enough TIme?

You need to follow your Rhinoplasty Surgeons advice.  I ask my Rhinoplasty patients to cut down after the surgery as the smoke seems to irritate the nose and prolong swelling and healing IMHO.  

Francis R. Palmer, III, MD
Beverly Hills Facial Plastic Surgeon
4.5 out of 5 stars 12 reviews

Smoking and Rhinoplasty

Smoking can cause numerous problems with healing, infection and skin loss.  If your doctor suggests (as they should) that you stop smoking, you should listen to their recommendations. The results could be disastrous if you do not follow directions. There are a number of tools available to help you stop smoking, but you should make every effort to stop and be honest with your surgeon for the best results.

Best of luck,

Vincent Marin, MD
San Diego Plastic Surgeon

Vincent P. Marin, MD
San Diego Plastic Surgeon
5.0 out of 5 stars 30 reviews

Smoking Before Rhinoplasty

Once you have picked a surgeon you want to work with you need to follow his advice. If you are having an "open" rhinoplasty the results of poor blood flow to the skin at the tip of the nose could leave you with disastrous results and you would have no one to blame but yourself. Follow your doctors instructions.

Ronald V. DeMars, MD
Portland Plastic Surgeon
5.0 out of 5 stars 17 reviews

Stopping smoking prior to rhinoplasty

While it is healthy and recommended for patients to stop smoking prior to surgery this is often not achievable. While each surgeon differs I ask my patients to quit smoking two to three weeks prior to surgery. With some surgeries this is more important then others. Rhinoplasty surgery is not affected as much by smoking as a facelift, tummy tuck, or breast reduction procedure. The nicotine causes vascular constriction and delays wound healing by not allowing the tissues proper circulation. With a facelift and other procedures mentioned this is very important as you are cutting off the blood supply to a larger area via an incision and/ or placing tension on these flaps. With reduced blood supply you have more risk of complications. In my patients who smoke and have smoked for a long time that are undergoing these larger procedures I often have them do a hyperbaric oxygen treatment a day prior and a few days post surgery to help increase their circulation. You may find quitting a few weeks before your rhinoplasty surgery and not smoking after that you "kick the habit" and will be on the road to a healthier you. Wishing you a speedy recovery, nicotine free!!

Michael Elam, MD
Orange County Facial Plastic Surgeon
5.0 out of 5 stars 154 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.