Accidentally smoked 5 days before gynecomastia surgery. Do I have anything to worry about?

I hadn't had a cigarette for 3 months and even before then I only occasionally smoked over the years, once a month. I'm having gynecomostia surgery in two days and I screwed up. On Saturday night I smoked a rolled cigarette. For no real reason, It completely slipped my mind that I couldn't. I live a healthy lifestyle in the country and work outside in the fresh air doing manual labour. Walk at least 1 hour a day, eat healthy. Do I have anything to worry about?

Doctor Answers 3

Smoking and Surgery

Most experts unanimously agree that smoking increases the rate of breast augmentation surgical complications significantly. Just about all plastic surgeons strongly recommend women to stop smoking and all nicotine products well in advance of breast augmentation with breast implants. Many plastic surgeons recommend stopping all tobacco products several months prior to surgery.
Here is the reason why: the nicotine in cigarettes and other tobacco products (including Nicorette gum, patches, etc) is a vasoconstrictor, meaning it makes the Smoking is a significant multiplier of many potential complications following surgery and breast augmentation with implants are no exception. Nicotine from smoking causes blood vessels to vasoconstrict ( tighten up). Over time, these constricted arteries and capillaries deliver less blood to the breast tissue which is needed for normal healing. Smokers therefore have an increased incidence of higher likelihood of complications such as infection, and in particular capsular contracture (hardening and distortion of the implants). General complications of surgery such as blood clots, anesthetic problems such as pneumonia are also increased. 
A scientific article in the Archives of Internal Medicine indicated that, among all forms of surgery, quitting smoking eight weeks prior was never associated with an increased risk of complications.
In young patients you will probably statistically avoid these complications, why tempt fate by increasing your odds that something bad will happen.On a long term basis, smoking also causes accelerated aging of the skin and loss of elasticity. Hopefully these reasons will help give you the will power and courage to stop smoking.

One cigarette.

Hello,  thank you for sharing your doubts.  I suggest you to tell your PS that you smoked one cigarette 48 hrs prior surgery.  This issue shouldn't postpone your surgery but definitely it's something to have in mind on your post op follow up. 

Derby Sang Caputo, MD
Dominican Republic Plastic Surgeon
5.0 out of 5 stars 59 reviews

Smoking before gynecomastia

Smoking slows and can possibly complicate the healing process. 1 slip will not prevent you from having the surgery. Let your surgeon know and he can guide you appropriately. 

Kris M. Reddy, MD, FACS
West Palm Beach Plastic Surgeon
4.5 out of 5 stars 36 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.