It's extremely important that patients avoid the use of tobacco before and after surgery since this substance inhibits the recovery process. You should not smoke in the three weeks leading up to the nose job operation and for another three weeks afterward. This is primarily due to inhibiting blood circulation and making it more difficult to fight infection. If you are very worried, I recommend seeing your surgeon for an assessment.
This is a very common question and I am glad you asked it. You should not smoke - even if it is just one. If you wish to have the best results then you need to adhere to your doctors recommendations until you completely heal. These guidelines are given to you in the best interest of one main person – you. Be well and smoke free, James M. Ridgway, MD, FACS
Dear rhinoplasty patient, I agree with other respected plastic surgeons regarding smoking. Since you have not smoked for a long time take this opportunity to quit smoking all together. Saying that only one cigarette would not harm your nose. Enjoy your nose and your health