Vaping - nicotine and no nicotine before rhinoplasty? How long do I have to stop before and after the surgery?

Great question!  In my practice I tell patients 1 month before and 1 month after with no nicotine - which means no gum or patches either.  Many surgery centers will test your urine the day of surgery and if shows nicotine exposure, you maybe in danger of having your surgery canceled.  So be super careful!Best of luck and hope this information helps!
- Dr. Roger Tsai   @DrRogerTsai
Board Certified Plastic Surgeon

Nicotine can increase your risk for complications both during surgery and the recovery process. I tell my patients to avoid nicotine for at least six weeks before and six weeks after their procedures. This is particularly critical with rhinoplasty, since there are numerous blood vessels in the nose that can lead to excessive bleeding.Nicotine is a vasoconstrictor (narrows the blood vessels), so the substance can substantially exacerbate bleeding risk. Make sure you are working with a board-certified plastic surgeon and follow all pre- and post-operative instructions precisely to ensure an optimal outcome.

Hello and thanks for your question.
In human body nicotine causes vasoconstriction that means it occlude small vessels. During the healing process if these small vessels are occluded by chemical material, it prolongs the heal process . Enough blood can’t flow the operation area and enough swelling can not be absorbed by these vessels . So nicotine both prolongs the healing process and decreasing of the edema. In my practice I recommend stopping the any kind of nicotine 4 weeks before and 4 week after the surgery.