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I require that patients not smoke a min of 6-8 weeks before surgery and I also put them on Ensure. Smokers who quit in too short of a time before surgery, run a greater risk of wound healing issues and tissue necrosis after surgery.I would recommend you address this with you PS asap and possibly reschedule
My answer would be NO, but your plastic surgeon may disagree. Be honest about your smoking habits when you ask for guidance, as misinforming him or her will jeopardize your surgery results and your health.Definitely stop smoking now! Smoking reduces circulation to the skin and impedes healing. It is best to avoid smoking, including second hand smoke, and cigarette replacements, such as nicotine patches or gum, in the perioperative period. Ideally you should stop smoking for 2 weeks before and 2 weeks after your surgery.Kenneth Hughes, MD, Board Certified Plastic SurgeonLos Angeles, CA
Recommendations will vary from one practice to another; therefore your plastic surgeon will have the most relevant recommendations for you. In my practice, I ask patients to avoid nicotine in all its "modalities' of delivery 6 weeks prior to surgery. It is a powerful constrictor of blood vessels, decreasing blood flow to the “flaps” used during these procedures. This decreased blood flow could potentially lead to wound healing problems and/or tissue necrosis. Best advice: avoid nicotine completely as long as possible prior to surgery and then do not restart.Best wishes for an outcome that you will be very pleased with.
I prefer patients stopping at least 2-4 weeks prior to surgery and to stay off during the healing process. You are best to review this with your surgeon.
Most surgeons would want you to be completely off nicotine and cigarettes for at least 4 weeks prior to surgery. Reduction of blood flow to you nipple can lead to you losing that tissue. That is a nightmare for patient and surgeon. My advice is that you reschedule. Hope this helps.-JGH
I require 3 months nicotine-free. The medical evidence is clear that smokers have wound healing problems. There is no good study that shows 'how long' is appropriate, but most say 3 months. You really don't want the problems that come with smoking and reduction. It's for your own good. Talk to your surgeon.
When I see it (18% of the time) it happens at about the 2-3 week mark. Almost never after 3-4 weeks do I see it. Best of luck!
The breasts can be reduced again, and this is not that uncommon. You attempted to work with the plastic surgeon who performed your BR nine months ago, which is the course of action I would have taken. Being unresponsive to your request, you have moved forward by scheduleding an appointment w...
I would recommend a second opinion. It is almost never necessary to do a free nipple graft, certainly not in a 23 year old. I typically do breast reductions with a lollipop scar, rarely with an anchor. Even larger reductions can be done in this manner with beautiful...