Don't beat yourself up. You won't do any harm to yourself with an occasional cigarette. One cigarette 10 days after rhinoplasty will do no harm.
I Smoked One Cigarette 10 Days After Rhinoplasty - Is That Okay?
Doctor Answers 11
Smoking after rhinoplasty is no big deal.
A little rat poison won't kill you!
But do you really expect that anyone will give you a "pass" on prohibited activities?
Nicotine is such a potent vasoconstrictor (causes blood vessels to clamp shut) that virtually all plastic surgeons (except perhaps those who smoke themselves) recommend stopping all tobacco or nicotine use several weeks before and after surgery. The problem with vasoconstriction is loss of circulation in the nasal skin which could cause delayed healing, scarring, or skin loss requiring prolonged dressings, skin graft, or other reconstructive surgery. Sort of a big deal, isn't it?
So, no, 1 cigarette is NOT OK. Even if you haven't had any problems healing thus far, your healing is far from complete, so you do yourself no favors if you "sneak one" every now and then. Sort of like a little rat poison, wouldn't you say?
One is fine
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Smoking and surgery
2. There is carbon monoxide in both tobacco smoke and marijuana smoke. Carbon monoxide decreases the oxygen carrying capacity of hemoglobin in the blood. This is different from the vasoconstrictor effect, but has the same result of having the risk of tissue death in conjunction with surgeries that decrease the blood flow to tissues such as breast lifts and tummy tucks, as opposed to an augmentation alone that does not decrease blood flow to as great of an extent. Again, edible forms of marijuana do not have smoke, and thus carbon monoxide poisoning.
3. Coughing. Both tobacco and marijuana smoke disrupt the lining of the lungs and bronchi and can lead to coughing episodes. Coughing episodes can lead to internal bleeding after surgery that can lead to hematomas and complications, and again a bad outcome. Again, edible forms of marijuana does not have this effect.
4. Anesthesia effects. Marijuana can have drug interactions with certain anesthetic drugs. Thus it is important to tell your anesthesiologist about your marijuana use.
In conclusion, Smoking, whether it be tobacco or marijuana, is detrimental to your surgery outcome. Edible marijuana is much less so, but be honest about your use with your surgeon and anesthesiologist so that you can have the best outcome. In general, you should quite smoking many weeks, ideally 6 weeks before surgery, and not smoke for at least 2 weeks after surgery.
Pablo Prichard, MD
One Cigarette 10 Days after Rhinoplasty
One cigarette 10 days after surgery is not okay, but you did no harm. If you stop smoking, you will get the best possible surgical result and improve your longevity.
Rhinoplasty: Common Questions
Be well and smoke free,
James M. Ridgway, MD, FACS
Smoking and rhinoplasty don't match
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
Smoked One Cigarette Ten Days After Rhinoplasty
It depends what was in the cigarette. Actually you should use this time as an opportunity to quit smoking for good since you have not been smoking for some time now. Just remember that you are "a puff away from a pack a day". Good luck and enjoy your new nose.
Smoking - post-rhinoplasty
In general smoking impairs wound healing. That is why we recommend you stop smoking before and after rhinoplasty or any other surgeries where the blood flow to the skin is crucial for survival. 1 cigarette is probably ok - but I would seriously advise not smoking any more.
Dr. Cat Begovic M.D.
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.