Can smoking cause implants to become hard?

Hi, I stopped smoking before and after surgery. I am 9 weeks post op now. Recent events have caused stress which leads me to smoke. I'm worried though about the effects it may have. Since im 9 weeks post op is it safe to not harm the implants by smoking? Could they get harder if I smoke? Thank you

Doctor Answers 8

Can smoking cause implants to become hard?

There is some evidence that cigarette smoking can result in an increased chance of capsular contracture or hardening of your breast implants.

Can smoking cause implants to become hard?

At 9 weeks post op your smoking will likely not create problems with your healing as things should be pretty far along by now. I am not sure of any correlation between smoking and capsular contractures (which have a round a 10% risk of occurence). Smoking does cause heart disease, lung disease, and cancer, which are far worse than a capsular contracture but I am sure you already know that. You stopped before so you know you can do it again. 
Best of luck,

Stacey Folk, MD
Denver Plastic Surgeon
4.8 out of 5 stars 24 reviews

Capsular Contracture from smoking

Hi KHampton,

Thanks for your question. At 9 weeks, your capsule is formed but it is still maturing. It is unlikely that it would increase your chances of getting capsular contracture. It may be possible but no current studies prove that fact. i have had many patients start smoking after surgery and they did not get a capsular contracture, but other patients have who did not smoke. Again, Infections, trauma or just bad luck cause it. Good Luck and try to quit again when your stress decreases.  

All the best,
Carlos Mata MD, MBA, FACS
@contracture @breastaugmentation @docmata #drcarlosmata
Board Certified Plastic Surgeon

Carlos Mata, MD, MBA, FACS
Scottsdale Plastic Surgeon
5.0 out of 5 stars 30 reviews

Can smoking cause implants to become hard?

It is not likely that at 9 weeks you will cause any problems from smoking. Early on you can have wound healing problems but you are past that now. Good luck on you journey. Hope you quit smoking again someday. 



Richard J. Brown, MD
Scottsdale Plastic Surgeon
5.0 out of 5 stars 49 reviews

Can smoking cause implants to become hard?

I don't know of any associate between smoking and capsular contracture which is the process that can make your implants feel hard.  There are however many studies regarding the other health issues created by smoking.

Ralph R. Garramone, MD
Fort Myers Plastic Surgeon
4.7 out of 5 stars 62 reviews

Will smoking cause capsular contracture.

We are not aware of any study which links smoking to capsular contracture. While smoking will not likely harm your implants be sure you consider all the health risk involved.

Peter E. Johnson, MD
Chicago Plastic Surgeon
4.0 out of 5 stars 43 reviews

Smoking Post Op


Thank you for your question. At 2 months post your incisions & Implant pockets should be well-healed so although smoking does impair circulation and cause inflammation, it shouldn't impair your healing. Overall, it would be well-worth it for you to consider smoking cessation help. Talk with your family Doctor for advice.

All the best

Jerome Edelstein, MD
Toronto Plastic Surgeon
5.0 out of 5 stars 179 reviews

Breast augmentation - can smoking cause capsular contracture?

Thank you for asking about your breast augmentation.

  • I am so sorry you are under such stress that you are smoking again.
  • I know of no studies showing a definite link between smoking and capsular contracture but -
  • Smoking causes inflammation in all parts of the body and inflammation causes capsular contractures.
  • If at all possible, find other ways to deal with your stress - I know it's hard.
Always see a Board Certified Plastic Surgeon.
Best wishes - Elizabeth Morgan MD PHD FACS

Elizabeth Morgan, MD, PhD
Atlanta Plastic Surgeon
4.6 out of 5 stars 43 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.