Using tobacco products 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.
All the experts say to quit smoking because of the many problems it may cause after surgery and recovery. What about e-cigs?
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Doctor Answers 7
E-Cigs Without Nicotine Before Plastic Surgery
Nicotine is the problem, not the smoke!
If you can't quit all forms of nicotine, please don't have surgery.
Zyban (wellbutrin) and Chantix are OK to use before and after surgery.
Please stop. Best wishes! Dr. Tholen
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These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.