I am a 46-year-old female and am thinking about a breast lift but my only concern is that I am a smoker and the actual surgery itself scares me. Because of me being a smoker, what would be the increased risks from this surgery?
Increased Risks from Breast Lift for Smokers?
Doctor Answers 13
Increased risk of skin death from smoking!
In a breast lift/reduction, a tummy tuck, or a facelift there is a considerable risk of skin death and massive wound healing problems and resultant permanent scars. This is because the nicotine constricts the blood supply to the skin that is being further compromised by lifting and tightening it. Nicotine gums, patches and even second hand smoke have the same effect. You need to be away from ALL nicotine products for at least one month before and another month after surgery to minimize the risk.
Smoking significantly increases the risks of breast surgery
Smoking causes constriction of blood vessels. Blood vessels provide blood and nutrition to the wounds while they heal. A breast lift operation requires many incisions. There is a tremendous amount of healing that must take place for a breast lift operation to heal well.
Smoking greatly interferes with healing. The risks of complications, such as infection, wound healing, poor scarring, opening of wounds, are signficantly increased by smoking.
Every surgeon is different. I personally require that patients quit completely for at least one month before their surgery. This is the only way I can be sure the patients will heal well.
You should discuss this in detail with your surgeon.
Smoking and BA
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.
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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. 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
Increased risks from breast lift for smokers?
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 for Smokers?
Thank you for the question.
You should be free of any type of nicotine product for at least 4 to 6 weeks prior to breast lifting surgery. This holds true for other plastic surgical procedures that involve flaps, such as facelift thing and tummy tuck surgery.
Nicotine behaves as a vasoconstrictor of blood vessels thereby decreasing blood flow to tissues ( that need to receive blood flow to heal after surgery). A decrease in this blood flow may result in wound healing problems and/or tissue death.
I hope this helps.
Breast lifts in smokers?
I strongly encourage you to quit smoking for 3-4 weeks prior to your procedure. I agree with several of the other physicians that smoking prior to surgery can lead to devastating outcomes. In general my patients are off of nicotine products and smoking for at least 3-4 weeks prior to a facelift, abdominoplasty and breast lift. It is likely safer to have a heart bypass procedure in a smoker than to have an of the above stated procedures in terms of minor complications.
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.