Mommy Make-over, Tummy Tuck, Liposuction, Breast Lift, Breast Augmentation, Smoking
That is a great and honest question. And a very important one to be honest with your surgeon about. Some patients will cover up their smoking and all that can do is cause higher risk for increased healing issues. Nicotine in the tissue causes blood vessels to constrict and decrease the blood flow to the tissue as you are healing. The blood flow to the tissue is very important to heal properly or you can end up with open wounds, healing issues and even dead tissue. These are very serious complications that can be avoided by not having nicotine present in the system for 6 to 8 weeks before and after the procedure. This is especially important in surgeries that require more disruption of the blood vessels.
For instance, when I am doing a tummy tuck, some of the blood vessels
that normally carry blood to the skin of the abdomen are divided in
order that that the skin can be moved around to give a flatter, better
shape to the abdomen. However, we leave enough other blood vessels
intact so that the skin will heal. If there isn’t an adequate amount of
blood flowing to the skin, the tissues will not get enough oxygen (a
condition known as ischemia), and some of the tissue will die or not
heal. That’s not a good situation. But the same thing is going on with
many other operations like facelifts, breast lifts, breast reductions
and many complex reconstructive cases. So, we have to make sure that we
have left adequate blood supply to the tissues that we are moving to
In order to have adequate
circulation, we must not only leave enough blood vessels intact, but
must also make sure that the blood flows through these blood vessels is
sufficient. Certain things can affect this blood flow and one of the biggest is cigarette smoke and nicotine present in the tissue.
Although nicotine in the cigarette smoke is the most dangerous element,
the carbon monoxide and the hydrogen cyanide don’t help much either.
Smoking Makes You Need More Anesthesia and Pain Medication
A recent study (June 2015) presented at the European Society of
Anesthesiology confirms what we have long suspected in the operating
room. Compared with people who don’t smoke, smokers needed 33% more
anesthesia throughout the operation and an additional 23% more pain
medication after their procedure to achieve the same results. But the
study went further. Those who didn’t smoke themselves but were exposed
to secondhand smoke required 20% more anesthesia and 18% more pain
medication than non-smokers who weren’t exposed to second hand smoke.
Nicotine Prevents Healing Well
Nicotine causes the blood vessels to constrict which means they decrease
in their size (diameter) and blood flow thorough them drops off. The
nicotine can also make the blood clot more easily which can further clog
small blood vessels and capillaries. All in all, these effects are
extremely serious because they decrease the blood supply to the tissues,
can result in wounds not healing, and can result in some devastating
Smoking’s Particular Impact On Plastic Surgery Recovery
Many people who smoke tell me that they have never had healing problems
before, so why should it be a problem now. What we are doing when we are moving tissue around in plastic
surgery operations, is much different than — say — in a hysterectomy.
Because in this operation, the tissues are not moved around in the same
way, and the blood supply to the skin is not altered. (Now, I’m not
saying that you won’t have a complication with a hysterectomy if you
smoke, but you are at greater risk with some of the operations that I
I hope this explains the seriousness of elective surgery and smoking and that you will only go to a Board Certified Plastic Surgeon and be completely honest.
Smoker 18 years, wants Monny Makover
Smoking 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 patient 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 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
Mommy Makeover for Smoker
Hello and I definitely appreciate your question. I can tell you that being a regular smoker will definitely affect your healing process in any procedure you get, that is why most doctors request that you quit for a certain amount of time before surgery and throughout healing to make sure that incisions close and heal properly. You can always take this question to your surgeon in order to get his specific feedback as well.
Smoking before surgery is dangerous
There are certain plastic surgery procedures that become especially risky in smokers due to poor blood flow to the skin or other tissues. These include surgeries that are often part of a Mommy Makeover, such as a tummy tuck or breast lift. Smoking can result in death of some skin or the nipples and areolas, with delayed wound healing. Most plastic surgeons recommend that patients stop smoking COMPLETELY for at least 4 weeks before such surgeries. This means not a single cigarette, and no substitutes either like nicotine patches or gum, e-cigarettes, vaping, etc. Please discuss this honestly with your surgeon.
Mommy Makeover - Smoking?
Thank you for your question. Smoking in the peri-operative period has been shown, in multiple studies, to result in a higher complication rate. I require my patients to stop smoking at least 4 weeks prior to surgery and not smoke for 4 weeks following the procedure. Please make sure you are cared for by a board certified plastic surgeon and have an honest discussion him or her regarding this. Hope this helps and good luck.
Smoking and Mommy Makeover
It is important to have a thorough history and physical performed prior to any elective procedure. Generally speaking if you are healthy overall and stop smoking 3-4 weeks prior to surgery and continue to stop 3-4 weeks after (ideally forever), you should still be able to undergo surgery without the higher risk of complication associated with smoking. If you relapse and have a cigarette anytime within the four weeks, then you should wait another four smoke-free weeks before proceeding with surgery. You are doing the right thing in taking the first step to stop smoking. Best of luck!
How long to stop smoking before a Mommy Makeover
You should check with your surgeon on this. For my patients I require a minimum of two weeks prior to surgery, if you stop smoking six weeks prior to surgery, you should be OK, however you need to continue to stop for a minimum of two weeks after surgery or what your surgeon recommends. Hopefully you can keep from starting again! Good luck!
I have a lot of experience with smokers and plastic surgery. I recommend stopping 3 weeks prior and after the surgery. I have done face lifts, breast augmentation and tummy tucks on smokers with great results. One of the things we recommend is hyperbaric oxygen therapy a few days prior and after the surgery. This helps the tissues heal better by bringing in more oxygen to the tissues. Best to go to a board certified plastic surgeon who has experience with this. Good luck!
18 years smoker wants Mommy Makeover. Any suggestions?
I really like your positive attitude, knowing that you will quit smoking before the surgery. Your risk of wound healing issues will be close to normal if you go without cigarettes for that 6 weeks, but you have to be tobacco free after surgery too. Good luck. Stick to your plan and you will not only look better but you will feel better and live longer to be with your children and grandchildren.
Mommy Makeover and smoking
Thanks for your question. If you stop smoking 6 weeks prior to your procedure as well as during the entire healing process (at least 6 weeks), you will decrease the risk of delayed healing after your procedure.