“Can I Smoke Marijuana After Surgery?” — RealSelf Docs Answer the 5 Most Interesting Questions of the Week

Jager Weatherby on 19 Jan 2015 at 5:00pm


MarijuanaOn average, we here at RealSelf receive a whopping 1,500 questions a week — questions on every aspect of nearly every cosmetic procedure, from the average cost of rhinoplasty to musings on the psychological effects of surgery.

As expected, we’ve seen some pretty interesting questions as of late. Here are answers to the RealSelf editors’ picks for the top 5 inquiries of the week:

1. Can I smoke marijuana after gastric bypass surgery?
“People smoke cigarettes for the nicotine and marijuana for the THC. However, in addition to these chemicals, they get thousands of other chemicals in their bodies from the burning of these plants. Carbon monoxide and numerous other chemicals in the smoke cause vasoconstriction in blood vessels. Because of this and other unknown mechanisms, ulcers are common in people who smoke after bypass. These ulcers frequently will not heal until the patients stop smoking. When patients can't stop smoking, some of these ulcers never heal but progress to perforation. This leads to a cascade of problems.” — Lee Schmitt, MD, Birmingham Bariatric Surgeon

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2. Can biting during sex cause a silicone implant to bust?
“While the implants should not rupture, biting is probably not in your best interest. If it actually broke the skin, it could lead to an infection which could jeopardize the implant.” — M. Scott Haydon, MD, Austin Plastic Surgeon

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3. I’m a 50-year-old crossdresser. How can I get wider, feminine hips?
“Wider hips can be achieved by transplanting fat to the area, shrinking the waist and trunk with liposuction, or a combination of both.” — John Mesa, MD, Livingston Plastic Surgeon

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4. When can I use perm lotion/hair dye/chemicals on my hair after hairline transplant?
“We often dye the hair immediately before the transplant. I would wait until the skin is well healed before you resume dyes. 7 to 10 days should be fine. If the dye irritates the healed wound, stop dying for another week.” — John P. Cole, MD, Alpharetta Hair Restoration Surgeon

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5. How do some women (like all the stars) avoid droopy brows and a frozen forehead after Botox?
“There are different muscles in the forehead area, but the only one that can lift the brows is the frontalis muscle. The interaction of all these muscles are different from patient to patient, as the shape, thickness, position, and strength of each one can have a different effect on the brow position. The doctor who applies the Botox knows the anatomy, and should know about the patient's goal in regard shape and position of the brow. Then the doctor will know how many units the patient needs and where the Botox should be injected in order to get a natural look. This is very different from patient to patient. What works for one patient may have a different effect on another.” — Juan Carlos Fuentes, MD, Mexico Plastic Surgeon

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Have a question of your own? Head to our Q&A section to ask our knowledgeable group of board-certified doctors.

Photo credit: Ohio Budd on Instagram