Hello, I'm currently 160 pounds/5'6. I just stopped smoking a week ago (5 years of smoking). And currently on a diet. I am planning on having a breast lift once I reach 143 pounds. I'm 28, & completly terrified of something bad happening during surgery. What are the chances of something bad happening, & what should I know before moving forward? Thnx!
I Stopped Smoking a Week Ago, my Breast Lift Surgery is in 6 Weeks. What Are my Risks?
Doctor Answers 19
Smoking and breast lift surgery
Hi, the usual recommendation before any surgical procedures on smokers is to stop smoking at least 3 weeks before and 3 weeks after the surgery. different surgeons can have different recommendations but in general this is the minimum amount of time required to decrease your risk of complications down to normal or close to it.
Smoking and Breast Lift
Risks associated with smoking
Smoking is very detrimental to the recovery process following breast lift and other surgery. It compromises your immune system making your body less effective in fighting infection. It also hinders circulation making the recovery process slower. I usually recommend my patients stop smoking about four weeks before surgery. Please ask your surgeon for their opinion.
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Smoking and surgery
1. There is nicotine in tobacco, but not in marijuana. However, most joints are rolled with marijuana and tobacco combination. Nicotine is a vasoconstrictor that decreases blood flow to the tissues. This is the major problems that can cause a very bad outcome in some surgeries. In a breast augmentation, there is not a lot of risk as there are not a lot of incisions which decrease blood flow to the tissues. In a breast lift or tummy tuck, on the other hand, there is much longer and more involved incisions. The decrease in blood flow to the tissues in combination with the decrease in blood flow from the nicotine can cause tissue to die. This can cause part of the breast or nipple, or in the case of a tummy tuck, part of the belly tissue to die, resulting in a very bad outcome. This is especially bad in breast reductions or face lifts. Marijuana without tobacco does not cause this problem, or marijuana in an edible fashion. Vaporizers do not decrease the amount of nicotine in tobacco, only decrease the smoke.
2. There is carbon monoxide in both tobacco smoke and marijuana smoke. Carbon monoxide decreases the oxygen carrying capacity of hemoglobin in the blood. This is different from the vasoconstrictor effect, but has the same result of having the risk of tissue death in conjunction with surgeries that decrease the blood flow to tissues such as breast lifts and tummy tucks, as opposed to an augmentation alone that does not decrease blood flow to as great of an extent. Again, edible forms of marijuana do not have smoke, and thus carbon monoxide poisoning.
3. Coughing. Both tobacco and marijuana smoke disrupt the lining of the lungs and bronchi and can lead to coughing episodes. Coughing episodes can lead to internal bleeding after surgery that can lead to hematomas and complications, and again a bad outcome. Again, edible forms of marijuana does not have this effect.
4. Anesthesia effects. Marijuana can have drug interactions with certain anesthetic drugs. Thus it is important to tell your anesthesiologist about your marijuana use.
In conclusion, Smoking, whether it be tobacco or marijuana, is detrimental to your surgery outcome. Edible marijuana is much less so, but be honest about your use with your surgeon and anesthesiologist so that you can have the best outcome. In general, you should quite smoking many weeks, ideally 6 weeks before surgery, and not smoke for at least 2 weeks after surgery.
Pablo Prichard, MD
I stopped smoking a week ago, my breast lift surgery is in 6 weeks. What are my risks?
Typically, we recommend at least 6 weeks of smoking cessation prior to any surgical procedure. Nicotine always increases the risk for infection, nipple necrosis, and wound complications, as well as other health consequences. I would discuss this with your surgeon prior to your procedure. Hope that this helps! Best wishes!
Breast Lift and Smoking
The best available scientific evidence regarding smoking and skin flap survival (in the laboratory animal models) is 4 weeks. Whether 4 weeks is the magical time period to abstain from cigarettes (including nicotine patches) prior to surgery is difficult to quantify.
If you continue to optimise your weight and also avoid nicotine in all its forms then you have done everything to ensure a safe operation. The rest is up to your surgeon and his/her staff.
Hope this helps and good luck.
I Stopped Smoking a Week Ago, my Breast Lift Surgery is in 6 Weeks
In all the lift procedures plastic surgeons perform, the blood supply to the lifted tissue is markedly diminished. Adding the strong decrease in blood flow caused by nicotine's constriction of small blood vessels, contributes to an unacceptable risk of wound healing complications.
Seven weeks of no smoking should leave you near "normal" risk. Most important is the month or so after surgery.
All the best.
Smoking realted complications
Thanks for your question and congratulations on your first week without smoking. If you continue to abstain for the next 4-6 weeks, I do not think you will experience any nicotine related complications. Good luck.
Smoking and Breast Lift Risks?
You should be congratulated on the steps you are taking prior to your breast lift operation. Achieving a long-term stable weight and avoidance of any nicotine products for at least 4 weeks prior to surgery will maximize the chances of a successful outcome.
Nicotine is a powerful constrictor of blood vessels, decreasing blood flow to the “flaps” used during these procedures. This decrease blood flow could potentially lead to wound healing problems and/or tissue necrosis.
Communicate your question regarding the timing of smoking cessation with your plastic surgeon. Best wishes with your upcoming operation.
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.