I Smoked 5 Cigarettes a Week After Rhinoplasty, Did I Damage the Results?

Dear doctors, I just had a closed rhinoplasty done last week, it is beautiful and I'm so happy with it but I smoked 5 cigarettes today. I now have a little blue line at the bottom of my nose and I didn't have it yesterday. I want to cry because I have been given the most beautiful nose. I threw my pack of cigarettes away. I know I shouldn't have done it, and I won't do it anymore. I just want to know what to do. Could it have ruined the results? Please help.

Doctor Answers 8

Smoking after rhinoplasty

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Thank you for the question. You should absolutely consult with your physician about your smoking habits in order to obtain the most reliable and individualized medical advice. Most specialists recommend abstaining from smoking for 2-3 weeks before a rhinoplasty, while others may insist on a full month or two. Smoking will cause irritation and restrict the blood flow to your healing areas, possibly causing complications during the recovery period.   

In addition, you should also make sure to avoid smoking for at least two weeks after surgery as it may interfere with your healing process. Smoking after surgery may restrict the flow of blood to the healing areas, exacerbate swelling, and prolong recovery. Of course, as a physician, I would advise you to quit smoking altogether due to a variety of health risks associated with it. Of course, if you don't observe any increase in swelling or any other complications, your results will most likely be fine. Just be sure to consult with your plastic surgeon from now on before you choose to resume smoking following surgery.

 An in-person exam with a board-certified plastic surgeon would be the best way to assess your needs and obtain expert medical advice. Best of luck!

Beverly Hills Plastic Surgeon
5.0 out of 5 stars 120 reviews


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Thank you for your question. Smoking is not advised after a rhinoplasty because it can delay and interfere with the healing process. I advice you stop smoking immediately. You can return to smoking 4 weeks post op. 

All the best, 

Deepak Dugar, MD
Scarless Rhinoplasty Expert
Beverly Hills, CA 90210

Deepak Raj Dugar, MD
Beverly Hills Facial Plastic Surgeon
4.8 out of 5 stars 20 reviews

I Smoked 5 Cigarettes a Week After Rhinoplasty, Did I Damage the Results?

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IMHO, it's unlikely that smoking that small amount would have any impact on post Rhinoplasty healing but you may want to ask your Rhinoplasty Surgeon this question.

Francis R. Palmer, III, MD
Beverly Hills Facial Plastic Surgeon
4.7 out of 5 stars 28 reviews

Smoking and Rhinoplasty

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Smoking before or after a Rhinoplasty is not a contraindication  (although it should never be recommended). It is doubtful that you caused damage and I would not worry about it. Other procedures such as Face Lift and Abdominoplasty are associated more commonly with problems if you smoke in the peri operative period. I would still avoid any further smoking (better yet-quit). If the blue persists, I would see your surgeon.

Scott R. Brundage, MD
Grand Rapids Plastic Surgeon
4.8 out of 5 stars 27 reviews

Cigarettes and rhinoplasty

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Cigarettes are a no no!  They cause tissue ischemia and prevent oxygen to get to the tissue properly.  

Steven Wallach, MD
New York Plastic Surgeon
4.2 out of 5 stars 30 reviews

Smoking shouldn't affect your rhinoplasty

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Smoking seems to have very little affect on rhinoplasty and it is very unlikely that you ruined your result with a few cigarettes. Good to quit though.

Best of luck, peterejohnsonmd.com

Peter E. Johnson, MD
Chicago Plastic Surgeon
4.0 out of 5 stars 44 reviews

Smoking after rhinoplasty

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It is unlikely that you did permanent damage to your nose with 5 cigarettes.  But smoking does affect healing and the smoke irritates the recently traumatized nasal mucosa.  I would not smoke.  Donald R. Nunn MD  Atlanta Plastic Surgeon.

Donald Nunn, MD
Atlanta Plastic Surgeon
4.9 out of 5 stars 51 reviews

Rhinoplasty and Cigarette Smoking

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I very much doubt that you have injured your nose by smoking in the immediate post-op period.  having stated this smoking long term can have a very negative effect on the nose and you should really try hard to quit.

S. Randolph Waldman, MD
Lexington Facial Plastic Surgeon
4.6 out of 5 stars 19 reviews

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.