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What Are the Risks if I Stop Smoking for 3 Months Before Tummy Tuck and Breast Lift?

I have three beautiful children and love them dearly. I am really afraidI may die during surgery.I'm 38 years old. I have smoked for 20 years I know I have to stop smoking before surgery. I'm am 5'7 and weigh 174 pounds.

Doctor Answers (12)

Risks of smoking before Tummy Tuck

+4

I do not perform TT on smokers, in fact I make them quit smoking 1 month before. I have had 2 patients that lied and smoked up until surgery and developed large wounds after surgery. 1 month should be more than adequate to eliminate this risk. God luck!

Baton Rouge Plastic Surgeon
5.0 out of 5 stars 13 reviews

The longer the time between nicotine exposure and your surgery the better

+3

Hi there-

I think the best way to maximize your safety and your happiness is to keep it simple- the longer you can go without any nicotine (gums and patches are just as bad for healing as a cigarette), the better your healing will be and the lower your risks of a complication.

My personal minimum os 3-4 weeks before surgery and 3-4 weeks after.

Even with these guidelines, it is important to know that your risks of complications are always going to be higher than the risks to a non-smoker.

Web reference: http://www.DrArmandoSoto.com

Orlando Plastic Surgeon
4.5 out of 5 stars 82 reviews

Risks, smoking and tummy tucks

+3

It is normal to be apprehensive before elective surgery.  If you are healthy and stop smoking 1 to 2 weeks prior to and 1 to 2 weeks after surgery, your risks would be quite low for a tummy tuck.  Make sure your plastic surgeon does your surgery in an accredited facility to lessen the chances of problems.  Also, the more weight you lose prior to surgery, the bett your results and lower your chances of complications.

Kahului Plastic Surgeon
5.0 out of 5 stars 12 reviews

For better healing after tummy tuck, no cigarettes or nicotine patches for one month before tummy tuck and one month after.

+1

Thank you for your question.

For better healing after tummy tuck, no cigarettes or nicotine patches for one month before tummy tuck and one month after tummy tuck.  If you can quit for that long, then maybe you can quick altogther.

It is unlikely that you would "die during surgery." What is more likely is that you would get heart disease or other problems later in life from continued smoking.  This would probably shorten you lifespan and make it so that you are unable to enjoy time with grandchildren.

To be sure, see two or more board-certified plastic surgeons in your area for a full and complete evaluation to make sure you are a good candidate and that it is safe for you to have surgery.  I hope this helps.

Nashville Plastic Surgeon
5.0 out of 5 stars 21 reviews

Smoking cessation

+1

Congratulations on kicking the habit.  Many plastic surgeons refuse to operate on active smokers because they are at increased risk for healing problems which include incisions opening up, skin necrosis, fluid collections etc etc.   For tummy tuck and breast lift procedures, I recommend smoking cessation for at least 4-6 weeks before and definitely after your procedure.  Even with smoking cessation, you still will be a slight increased risk for slow healing.  But kicking the habit now is the best thing that you can do.  See a board certified PS for your procedure.  Best of luck!

Dr. Basu

Houston, TX

Web reference: http://www.basuplasticsurgery.com

Houston Plastic Surgeon
4.5 out of 5 stars 101 reviews

Smoking and Body Contouring

+1

Simply stated.  You will have healing problems!! I will not perform these procedures on smokers.  Smoking decreases the circulation which will lead to certain healing issues.

Dr. ES

Atlanta Plastic Surgeon
5.0 out of 5 stars 6 reviews

Smoking is bad for cosmetic surgery

+1

Smoking is bad for wound healing after cosmetic surgery.  So, if you have truly stopped for 3 months and you continue to refrain from smoking afterward your risks of complications are lowered.

Web reference: http://MarylandCosmeticSurgeryInc.com

Baltimore Plastic Surgeon
5.0 out of 5 stars 61 reviews

Smoking and Tummy Tuck = Bad News/Bad Results

+1

One of the major concerns during any lifting procedure, whether it be breast lift, tummy tuck, or facelift is blood supply to the tissues. The healing process and a successful result is dependent upon strong robust blood flow. Smoking, and nicotine specifically, constricts the blood vessels and decreases blood flow to the targeted areas. That is why nicotine patches and nicotine gum should also be avoided before and after the surgery. It takes these blood vessels time to expand back to normal size once the tightening stimulus (the nicotine) is removed. That is why I like to have my patients quit smoking for 6 weeks prior and 6 weeks after surgery. I think the goal of avoiding nicotine for 3 months is an admirable goal becuase, you know better than I do, quitting smoking is no easy task. The 3 month time frame gives you some wiggle room in case you lapse in your commitment to be still be smoke free/nicotine free for 6 weeks prior to surgery. 

While cutting down on smoking is helpful, it's vitally important that your body sees NO nicotine in the before and after period. That includes second hand smoke as well. This can also cause a profound negative impact on your ability to heal and lead to a less than successful result.

I used to think that a pack or half a pack a day smoking was not too bad, especially if the patient used to smoke 2-3 packs/day. Then I came across a powerful study that showed that just ONE cigarette decreased blood flow to the fingers by 47%.  While the fingers have some of the smallest blood vessels in the body, so do nipples, ears, and noses. During an operation, a portion of the blood flow will already be disrupted through the surgery itself. When you tack on an additional drop in HALF of the blood flow with smoking, this can lead to some disasterous results.  I am VERY passionate about having my patients quit smoking before surgery, so the above paragraph is meant to scare you some.  However, if you allow time for your body to adjust and blood vessels to reexpand after avoidance of smoking, your risk should be minimized and likelihood of a successful result should be maximized.  Good Luck.

 

Nashville Plastic Surgeon
5.0 out of 5 stars 14 reviews

Concerned about safety of Tummy Tuck and Breast Lifting?

+1

Thank you for the question.

Good for you  and your plan to stop smoking three months before tummy tuck and breast lifting surgery;  doing so will certainly minimize the risks associated with the  use of nicotine. Make sure you stay away from nicotine gum/patches as well.

Given your long history of smoking and your concerns regarding the safety of the plan surgery,  I would suggest that you obtain “medical clearance” for the procedure planned. Although this may be unnecessary at the age of 38, it may be prudent to be seen by your family practitioner or internist;  it will certainly give you peace of mind prior to undergoing major  elective surgery.

Also make sure you are at a long-term stable weight prior to undergoing surgery.  Also, confirm with your plastic surgeon that every precaution regarding prevention of deep venous thrombosis is being taken around the time of your procedure.

Choose your plastic surgeon  carefully.  Make sure the procedures are being done in a fully accredited surgery center/hospital and that you are provided anesthesia services through a fully licensed/well experienced anesthesia provider.

Best wishes.

Web reference: http://www.poustiplasticsurgery.com/Procedures/Procedure_mommyMakeover.htm

San Diego Plastic Surgeon
5.0 out of 5 stars 626 reviews

TT patients who smoke are at increased risk for wound complications

+1
  • When a tummy tuck is done, the skin and fat is separated from the abdominal muscles. A lot of the blood supply to the abdominal skin comes from blood vessels that originate on along the lining of those muscles. Those vessels are divided during this procedure and the blood supply to the abdominal skin is therefore diminished.
  • Now, add nicotine, which causes constriction of small blood vessels which further diminishes the blood supply to the abdominal skin.
  • This double insult to the blood supply of the abdominal skin can result in poor healing or frank necrosis (death) of the skin.

It is for this reason the most surgeons will not do any lifting procedure including tummy tuck, breast lift, breast reduction, facelift, on a smoker. Use of nicotine patches or nicotine gum may actually be worse than smoking in terms of reduction of blood supply.

It's not clear along the first surgery patient should stop smoking but a month seems reasonable. It is probably the more crucial not to smoke during the postoperative period for at least 6 weeks until most of the healing is done.

Thanks for your question and best wishes

Seattle Plastic Surgeon
4.5 out of 5 stars 28 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.

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