Illicit cocaine use involves different degrees of impurity and strength (the actual drug is usually "cut" several times to decrease potency and increase profit for the seller), so the user never really knows what those "few pinches" really contained.What if your surgeon came in the day of surgery and said s/he used a few pinches of street-purchased cocaine prior to performing your surgery? Would you think THAT is OK, or would you cancel surgery and consider finding another surgeon?People die every day from illegal drug use. This is one reason they are illegal. Why would you even consider undergoing elective surgery having used cocaine, which can affect circulation, heart function, and cause sudden death, especially when combined with anesthetic drugs?Notify your surgeon. Immediately. Cancel surgery. Please get help for your drug use. You do not want to die as a result of elective cosmetic surgery being performed on an illegal drug abuser. Best wishes! Dr. Tholen