Smoked Two Cigarettes 48 Hours Before BA Surgery is that OK?

Thank you for your question.  As I'm sure your surgeon has explained, nicotine in cigarette smoke (and e-cigarettes, patches, gums, etc.) causes constriction of the small vessels that supply blood to all tissues and as a result can significantly impair wound healing.  That said, 2 cigarettes 48 hours prior to breast augmentation (a low-risk procedure) is fairly insignificant, and unlikely to have any effect whatsoever on your outcome.  Good luck with surgery!

Most experts unanimously agree that smoking increases the rate of breast augmentation surgical complications significantly. Just about all plastic surgeons strongly recommend women to stop smoking and all nicotine products well in advance of breast augmentation with breast implants. Many plastic surgeons recommend stopping all tobacco products several months prior to surgery.Here is the reason why: the nicotine in cigarettes and other tobacco products (including Nicorette gum, patches, etc) is a vasoconstrictor, meaning it makes the Smoking is a significant multiplier of many potential complications following surgery and breast augmentation with implants are no exception. Nicotine from smoking causes blood vessels to vasoconstrict ( tighten up). Over time, these constricted arteries and capillaries deliver less blood to the breast tissue which is needed for normal healing. Smokers therefore have an increased incidence of higher likelihood of complications such as infection, and in particular capsular contracture (hardening and distortion of the implants). General complications of surgery such as blood clots, anesthetic problems such as pneumonia are also increased. A scientific article in the Archives of Internal Medicine indicated that, among all forms of surgery, quitting smoking eight weeks prior was never associated with an increased risk of complications.In young patients you will probably statistically avoid these complications, why tempt fate by increasing your odds that something bad will happen.On a long term basis, smoking also causes accelerated aging of the skin and loss of elasticity. Hopefully these reasons will help give you the will power and courage to stop smoking.

Thank you for your question. Smoking before or after your surgery can increase your risk of developing complications including infection and wound healing problems. I tell my patients that it is ideal to stop a couple months ahead of surgery and then for a couple months after surgery.

Smoking affects your ability to heal, and I recommend that you stop smoking at least two weeks before your surgery to adequately prepare your body. However, you should ask your surgeon for their advice. They may recommend your surgery be postponed.

Hello! Thank you for your question! The issue with nicotine is that it also acts as a vasoconstrictor, clamping down of blood vessels. Blood supply is always of great concern during any surgical procedure, but especially in such a procedure as breast surgery where the viability of the nipple-areolar complex is obviously important. Since the vascularity to the area is already tenuous since it will be raised by cutting around the area, maximizing blood flow to the tissue is critical. Typically, we recommend at least 6 weeks of smoking cessation prior to any surgical procedure. Nicotine always increases the risk for infection and wound complications, as well as other health consequences. These couple cigarettes will likely not impact vascularity, but I would discuss this with your surgeon prior to your procedure.  Some surgeons will refuse to operate on smokers due to increased risk of infection, wound complications, scarring issues, blood clots, let alone the pulmonary complications that can occur with general anesthesia and afterwards.  Hope that this helps! Best wishes!