You should absolutely inform your surgeon. Most surgeons recommend abstaining from tobacco products for 4 weeks prior to surgery. This is because of the effects nicotine has on the microcirculation and wound healing. It is unlikely they will cancel or postpone the surgery because of this one incident but it’s always best to be honest about you adherence or lack there of the preoperative instructions. Rhinoplasty is a challenging operation and you want to do everything you can to optimize your results. Not smoking is one of those things you can easily control.
Thank you for the question. You should absolutely consult with your physician about your smoking habits in order to obtain the most reliable and individualized medical advice. Most specialists recommend abstaining from smoking for 2-3 weeks before a rhinoplasty, while others may insist on a full month or two. It is always best to visit a board-certified plastic surgeon and have a full evaluation for your concern. Best of luck! Dr. Michael Omidi.
One half of a cigarette 2 weeks before a septoplasty and rhinoplasty should not affect and result, but it's always best to check in with Your operative surgeon.
Should you tell your surgeon? Yes. Don't you expect your surgeon to be completely honest with you concerning his or her skill as well as the inherent risks of the procedure? Smoking a little or a lot can still potentially negatively impact your outcome. My patients understand that their outcome is determined in part by my skill and technique, and in part by their adherence to my pre and post operative instructions. They (my instructions) are not rigorous by any means.
If you are not smoking in the two weeks before surgery, that should be OK. Good luck on abstaining as it is good for your health.