Does Second Hand Cigarette Smoke Affect Wound Healing After Surgery?

Doctor Answers 2

Second Hand Smoke and Wound Healing

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There is strong evidence that cigarette smoke impairs wound healing. Nicotine causes vasoconstriction (contraction of the blood vessels) which decreases oxygen delivery to the tissues. In general, patients are advised to avoid all types of nicotine exposure (including second hand smoke and electronic cigarettes) before, during and after surgery.

Second hand smoke and wound healing

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There are many conditions (diabeles, atheroscleosis, poor nutrition, smoking) that can influence wound healing.  Second hand smoke has not been associated with poor wound healing.


John F. Reinisch, MD
Beverly Hills Plastic Surgeon

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