I had the MOHs done on the side of my nose and a skin graft. They said I needed to cut down smoking

Thank you for your question.  It may be difficult, but going cold turkey would probably be the best option for your recovery.  Skin grafts depend on the recipient tissue bed to survive.  Nicotine contained in cigarettes causes vasoconstriction of blood vessels and capillaries, thereby decreasing the blood flow to the tissue bed. I usually request that patients stop smoking at least 4 weeks prior to having elective surgery.  In some cases, I will not offer surgery if the patient is not willing to quit smoking.  I am sure it is not that easy, but in the long run, it is so much better for your body and overall well-being.  I hope this helps.Good Day,

Smoking can definitely affect the graft.  I really believe that quitting smoking, along with losing weight, are among the most difficult lifestyle changes we can ask people to make.  But, if you quit smoking, everything will be better.  That's probably an exaggeration, but not much of one-you will live longer, you will feel better, you will have more energy, you will sleep better.  Your skin will age less.  You will look better. You will save a lot of money. Sex is even better (ok, I made that one up, but you get the idea, everything is better).Given how hard it is to quit, its worth lining up every resource at your disposal.  Talk to your PCP, there are medications that can help.  There are smoking cessation groups.  Talk to your friends and family, get them on board with helping you out.  See if your work has things that can help.  Then do it all.  You might fail.  If you do, try again.  Its that worth it.

There is evidence to suggest smoking affects the healing process of skin grafts. I would suggest you should be evaluated by a board certified dermatologist experienced in this procedure to advise you properly and address your concerns.