How can you promote oxygen flow after a BBL?

Question

How can you promote oxygen flow after a BBL? I messed up and smoked half a cigarette 10 days after surgery after I had a few drinks. I’m freaking out. Anyway to promote oxygen flow?

Jeffrey Horowitz, MD · Answer

Hello and thanks for your question.  Cigarette smoke can compromise blood supply.  Having said that, one cigarette will not make a difference, so relax!
I typically recommend patients abstain from all forms of nicotine (and avoid secondhand smoke) for 4 weeks pre and postop, but make sure you follow the instructions from your surgeon.
Good luck!

Austin Hayes, MD · Answer

Thank you for your question and congratulations on your surgery. I would continue to refrain from smoking. As you know, nicotine constricts blood vessels and decreases blood flow. Maintaining blood flow to newly transferred fat cells is key to promoting their long-term survival. Other techniques include avoiding pressure on the fat. Your surgeon will be able to give you specific instructions for recovery. Make sure to follow them closely.

Dallas Buchanan, MD · Answer

Thank you for your questions. While there are several ways to improve oxygenation (such as HBO therapy), I would not suggest any of them for you at this point. What is done is done. Just try to avoid repeating that activity and follow your surgeon's other instructions.Best of luck!Dallas R. Buchanan, MD, FACSOwner & Board-Certified Plastic SurgeonVIVIFY plastic surgery

Raffi Hovsepian, MD, FACS · Answer

Refraining from smoking is key for longterm BBL results. Nicotine constricts blood vessels and decreases blood flow. Maintaining blood flow to newly transferred fat cells is ideal to promote fat graft survival. Considering hyperbaric oxygen therapy (HBO) will maximize the oxygenation of your overall body.

Stephen M. Davis, MD, FACS · Answer

Thanks for writing,Cigarettes have nicotine which is very well know to spasm blood vessels and skin can die. Cigarettes also has Carbon Monoxide, the same thing that come out of the tail pipe of your car, Carbon Monoxide also binds red blood cells 200 times greater than Oxygen and therefore decrease Oxygen delivery. I have all my patients sign a cigarette risk consent and give them a position paper from the Plastic Surgery Society. I will also do urine nicotine levels pre-op if I think they are still smoking, if they are positive, the surgery is cancelled. The Bottom Line: If you have a problem,  I have a problem and I hate problems. Throw the cigarettes away for ever, there are too many other problems such as throat, mouth and pharyngeal Cancer, even bladder cancer. Is it worth the risk?Stephen M. Davis, MD, FACS
Certified: American Board of Plastic Surgery
Member: American Society for Aesthetics Plastic Surgery
Member: American Society of Plastic Surgeons
Member: RealSelf Hall of Fame

How can you promote oxygen flow after a BBL?

Answers (5)

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