Smoking Before Rhinoplasty?

I had a rhinoplasty consultation yesterday and as of now, my surgery date is April 3. I threw away my cigarettes and don't plan on starting again. I was wondering if it would it be okay to go through with my procedure. I heard that the nose isn't very vascular, so since I quit, will I have trouble healing? I know it depends from patient to patient, but I would appreciate some feedback/advice. Thanks!

Doctor Answers 9


smoking is a very negative factor for planned surgeries,if its an emergency surgery we cant do anything about is can we? and most critical surgeries done in emergency on smokers turn out not unfavorably when compared to nonsmokers.but there is a distinct possibility of complications and mishaps in smokers and from the history the anesthetists take extra care in smokers.So as Doctors we advise to stop smoking before any elective surgeries.

secondly contrary to your what you heard,nose is one of the most vascular areas in the body.

so smoking is a choice,good or bad each one decides,but it is bad for the others as secondary smoke is more damaging,so as long as you inhale and keep it inside its no bodies business and once you exhale it becomes every one elses!

India Plastic Surgeon
5.0 out of 5 stars 3 reviews

Smoking before rhinoplasty

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. You may be okay if you don't smoke for the advised time, so that the nicotine has time to clear out of your system.

Jerome Edelstein, MD
Toronto Plastic Surgeon
5.0 out of 5 stars 179 reviews

Smoking before rhinoplasty

 It is best to stop smoking  several weeks prior to the rhinoplasty and  2 weeks after   the rhinoplasty procedure. The nose is quite vascular and has an excellent blood supply, contrary to which  you heard in the past.

William Portuese, MD
Seattle Facial Plastic Surgeon
4.8 out of 5 stars 146 reviews

Smoking and rhinoplasty

Smoking impacts wound healing and can increase complications by 50%. I recommend to my patients to stop at least 3-4 weeks for most procedures.

Steven Wallach, MD
New York Plastic Surgeon
4.1 out of 5 stars 29 reviews

Smoking per se is not a contraindication to rhinoplasty.

Most of us plastic surgeons eschar patients to quit smoking several weeks prior to elective operation. Contrary to what you heard the nose is exquisitely vascular it would not be in jeopardy because of smoking. Nevertheless if your surgeon has requested that you see smoking a given time before the operation, please do so.

Vincent N. Zubowicz, MD
Atlanta Plastic Surgeon
4.8 out of 5 stars 36 reviews

Smoking before rhinoplasty

I have patients quit 4-6 weeks before surgery and refrain for at least 2-3 weeks after. By that time most people have quit for good. Check with your surgeon to see if you have quit soon enough before surgery.

Matthew Bridges, MD
Richmond Facial Plastic Surgeon
5.0 out of 5 stars 24 reviews

Smoking Before Rhinoplasty?

I always recommend quitting smoking for at least several weeks before AND after surgery. This is actually a great opportunity for you to give up a very unhealthy habit. Quitting smoking will not impair your breathing. In fact, quitting smoking will improve your nasal breathing as well as lung function. I hope this information is helpful.

Stephen Weber, M.D., F.A.C.S.

Lone Tree Facial Plastic Surgeon

Stephen Weber, MD, FACS
Denver Facial Plastic Surgeon
4.9 out of 5 stars 129 reviews

Smoking Before Rhinoplasty

     I always ask patients about smoking before offering rhinoplasty.  Conventional wisdom is to abstain from smoking for a month prior to surgery.  Kenneth Hughes, MD Los Angeles, CA

Kenneth B. Hughes, MD
Los Angeles Plastic Surgeon
4.9 out of 5 stars 496 reviews

Smoking before rhinoplasty

Each surgeon may have different rules in regards to cigarette smoking and rhinoplasty, or any surgery.  I would highly recommend that you discuss this issue with your particular surgeon and get his or her advice, as he or she will have the most information in regards to your procedure and your medical health.  I personally ask that patients discontinue smoking one month before surgery, but exceptions can sometimes be made.  Again, I would discuss this issue with your surgeon as it is important information that could affect your outcome.  

Michael I. Echavez, MD
San Francisco Facial Plastic Surgeon
4.5 out of 5 stars 18 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.