Can Nitro Bid ointment be used post operatively on a neck lift if patient is a smoker?

If nitro paste is used in the postoperative setting for facial aesthetic surgery, it is generally applied as a "rescue" measure for skin that appears less than healthy.  The best approach for a smoker considering a face or necklift is to stop smoking for 6 weeks prior and 6 weeks after the proedure

I do not recommend using nitropaste prophylactically to try and avoid complications from smoking. It would be much better if you stopped smoking permanently. If this is not possible, I would recommend quitting at least two weeks prior to surgery and 2 weeks following surgery.

I have found that patient can get amazingly motivated to stop smoking for face and neck lift surgery.  It represents a time of self improvement and smoking cessation falls in line with this thinking.  If you can stop for 3 weeks or so before surgery, my guess is that you will stop permanently.  I would not try to overcome the risks of smoking with such topicals as nitropaste.  Be honest with your surgeon---have surgery when you've stopped smoking or else you will likely have complications.