Smoking and cosmetic surgery
A lifetime will not reverse the circulatory damage you have already done with smoking. However, in the current situation, you need to quit for at least 4-6 weeks prior to surgery and stay quit for at least a couple months after surgery to have a chance at a decent result. This is definitely something you need to discuss with your surgeon.
Quit smoking, then started again. What about a tummy tuck?
Using tobacco brings a significant risk of cancer, stroke, heat attack, etc. From a Plastic Surgery standpoint it is a vasoconstrictor. Wound healing is all about getting oxygen and needed entities to the wound. It is well known that patients who smoke have a tremendous increase in their rate of serious complications, (infections, wounds falling apart, etc.). Nicotine is the main vasoconstrictor, so getting a patch or lozenge of nicotine won't help the vasoconstriction. Best to be off the tobacco/nicotine entirely before surgery. Please be honest with your Board Certified Plastic Surgeon. Together you can make a plan to quit and proceed with surgery. The amount of time between quitting and surgery will depend on the Plastic Surgeon and the procedure.
Personally I would postpone and give up for 6 weeks before. Occasionally I will operate at 4 weeks but 2 weeks is probably not enough time. You need to discuss the pros and cons with your surgeon
Quit smoking, started again, TT a bad idea?
Avoid nicotine 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 or postpone surgery.
It is truly a bad idea to have a tummy tuck so soon with your history of smoking. Routinely we require a smoke-free period of approximately 4-6 weeks for elective surgery. Be careful.
Smoking before tummy tuck
Smoking is not a good idea before or after surgery, as you certainly know! I would be considered about smoking within the two week window, particularly depending on the number of cigarettes involved. Ideally, you should start a smoking cessation program and maintain this for six weeks before surgery but it would be best for you to discuss the consequences with your plastic surgeon.
Quit smoking before tummy tuck
This is a very serious issue, smoke from smoking has carbon monoxide which competitively binds to your hemoglobin and prevents oxygen delivery to your tissues. Loss of belly button, loss of skin, fat necrosis and loss of flap is higher in smokers. It takes two weeks to make enough new red blood cells that can deliver Oxygen. Even one cigarette or exposure to a smoke filled room can compromise your blood cells ability to provide oxygen on the needed small vessel level. This is a great opportunity for you to quit for good. Nicotine gum or patches can be used, nicotine causes vasoconstriction for 30 minutes but is converted to cotinine a vasodilator that lasts 4 to 6 hours in the blood stream. Good luck....
Thank you for your question. A tummy tuck (abdominoplasty) is a bad idea if you are smoking. The healing process after a tummy relies on the blood supply in the area to heal your incision. Smoking interferes with these blood vessels and can compromise the wound healing process leaving you with open wounds. You must quit at least 6 weeks prior to surgery as well as 6 weeks post-operatively. Best of luck.
Smoking greatly increases the risk of complications with a tummy tuck. A little bit of smoking prior to the procedure is sort of like being a little pregnant in my opinion. I typically make my patients wait six weeks after they stop smoking before I will do their surgery.
Thank you for your question. If you were my patient I would not do a tummy tuck on you. I require my patients to refrain from smoking for 6 weeks before and after their surgery. It is not worth the risk and headache of the potential complications due to smoking. Talk to your surgeon. Good luck.