Is 3 Weeks Long Enough to Past a Nicotine Unine Test & Have a Safe Breast Agumentation & Lift

My dr requires 4 weeks smoke free before having a breast lift. I would have been exactly that had I not smoked about 10 cigarettes after recieving some devastating news. However, I will be 3 weeks & since I have quit, I've been walking/jogging 2 miles everyday. Will I have a safe surgery? Also, will I pass the nicotine test required the morning of surgery. If I don't pass, they keep 50% of the money.

Doctor Answers (7)

Passing nicotine urine test for breast augmentation and lift


As you can imagine, smoking is bad for breast augmentation, (and surgery in general). Most would say that you have a significantly higher rate of wound complications. 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 your board certified plastic surgeon. He obviously feels strongly about this issue. He has a good point, especially when doing a lift as there will be additional tension on the wound. Also best to quit smoking, (for a variety of other health reasons as well).

Las Vegas Plastic Surgeon
4.5 out of 5 stars 7 reviews

2-3 Weeks Without Nicotine Should be Enough


Very wise to check on this. As nicotine tends to constrict blood vessels, limiting the oxygen that is carried throughout the body and to surgical site, stopping this product before surgery is essential. Yes, 2-3 weeks without nicotine should be enough time to clear.

John W. Bass, MD
Phoenix Plastic Surgeon
4.0 out of 5 stars 7 reviews

Smoking and surgery


Smoking definitely can have detrimental outcomes on surgery.  Your surgeon obviously feels very strongly about this issue.  The agreement you had is unusual but you did agree to it.  Be honest with your surgeon and he can decide if he wants to proceed with your surgery or not.

David Nicholas Csikai, MD
Jacksonville Plastic Surgeon
5.0 out of 5 stars 31 reviews

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No smoking 3 weeks before surgery


 Hi LouLou,

Different surgeons have different criteria regarding smoking and not all breast lifts are perfomed similarly. For that reason, you're best off discussing this issue with your surgeon. If he thinks that you're at an unacceptably high risk of potentially devastating complication, he'll tell you. Perhaps his office would be willing to re-schedule the procedure at a later time; that way, everyone wins.

Hope this helps. All the best.

Sam Jejurikar, MD
Dallas Plastic Surgeon
5.0 out of 5 stars 27 reviews

Smoking and breast lift and augmentation


Smoking can have a detrimental effect on healing after cosmetic surgery, notably in facelift and in tummy tuck procedures. Smoking risks are of minor significance for breast surgery and we do not use a urine smoking test or demand individuals stop, and we feel you should do well smoking or not. Of course not smoking is better but the urine test seems a bit punitive. The 50% failure fee is probably something you never should have agreed to.

Best of luck,


Peter E. Johnson, MD
Chicago Plastic Surgeon
4.0 out of 5 stars 26 reviews

Smoking and Breast lift


The best thing to do is to be honest with your surgeon, and the sooner you tell him or her, the better in terms of your potential finacial situation.  Remember, what the surgeon is trying to help YOU avoid is a devastating complication such as the permanent loss of one or both nipples.

Robert M. Grenley, MD
Seattle Plastic Surgeon
5.0 out of 5 stars 70 reviews

Smoking and cosmetic surgery


I cannot tell you if you will pass the test. The determintal effects of smoking on your results is without question and my advice is to have an honest conversation with your surgeon. I'll bet this isn't the first time your surgeon has had this happen.

Jack Peterson, MD
Topeka Plastic Surgeon
5.0 out of 5 stars 11 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.