Cigarettes and tummy tuck; severely risky proposition
Cigarette smoke contains 4000 toxic substances. The effects of each of these substances on the outcome of tummy tuck has not been studied individually. The most important issues with cigarette smoke is the carbon monoxide, which compromises the oxygen delivery to the healing tissues, and the nicotine, which causes spasm of the blood vessels delivering blood to the healing wound. Anything that compromises healing can lead to an increase risk of infection, wound separation, or tissue necrosis. Clearly eliminating the smoke is important because of the carbon monoxide poisoning of the blood. Eliminating nicotine is important as well. It would be wise to stay away from nicotine and carbon monoxide until everything is completely healed.