Will smoking marijuana a week before surgery affect being put under? I suffer from chronic headaches and I'm not a normal full time user of marijuana, but a week ago I did because I had such bad pain. I heard it can affect my surgery is this true? I plan to ask my doctor
Will Smoking Marijuana Affect Tummy Tuck Surgery?
Doctor Answers 6
Since marijuana doesn’t contain nicotine, it doesn’t cause the significant vasoconstriction that cigarette smoking causes.Despite this, smoking marijuana can have a negative impact on breathing and airway function.For these reasons, it’s important to discuss this issue with your plastic surgeon before undergoing abdominoplasty surgery.
Smoking Marijuana decreases the oxygen supply to your healing tissues
Any type of smoking will diminish the oxygen supply to your healing tissues. Smoking is especially important to avoid before any surgery that involves the creation of flaps (complex segments of tissue with their own blood supplies), such as face lifts and tummy tucks.
If you were about to undergo upper eyelid blepharoplasties, routine breast augmentation, or liposuction, you would probably get away with smoking and yet still have a good result. However, I would probably cancel your tummy tuck surgery unless you are willing to undertake a significantly higher rate of complications.
Marijuana and surgery
1. There is nicotine in tobacco, but not in marijuana. However, most joints are rolled with marijuana and tobacco combination. Nicotine is a vasoconstrictor that decreases blood flow to the tissues. This is the major problems that can cause a very bad outcome in some surgeries. In a breast augmentation, there is not a lot of risk as there are not a lot of incisions which decrease blood flow to the tissues. In a breast lift or tummy tuck, on the other hand, there is much longer and more involved incisions. The decrease in blood flow to the tissues in combination with the decrease in blood flow from the nicotine can cause tissue to die. This can cause part of the breast or nipple, or in the case of a tummy tuck, part of the belly tissue to die, resulting in a very bad outcome. Marijuana without tobacco does not cause this problem, or marijuana in an edible fashion.
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.
Pablo Prichard, MD
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Smoking can have adverse effect on tummy tuck healing
Smoking tobacco or marijuana can adversely affect wound healing in any type of plastic surgery, especially a tummy tuck. Smoking causes decreased blood flow to the skin and soft tissues and can lead to a higher incidence of infection, poor scarring and wound healing problems (wound could partially open-dehiscence). It is generally recommended to stop all tobacco products and smoking for at least two to eight weeks before and after elective plastic surgery procedures.
Please discuss this issue in detail with your plastic surgeon prior to scheduling any elective cosmetic procedure.
Smoking marijuana while having plastic or cosmetic surgery (tummy tuck)
Any consumption of combustible products can produce carbonaceous byproducts that interfere with the lungs ability to oxygenate the blood. The effecs of smoking tobacco have been well documented and aggravated by the combination of carbon monoxide, nitrogen oxides, hydrogen cyanide and ammonia that are all present. Marijuana use may not be as severe as tobacco use but it does interfere with healing nonetheless. I am not aware of the state regulations in Nevada but perhaps you could obtain a prescription pill form of THC, the reported active incredient in marijuana.
I do believe that smoking marijuana can affect your ability to heal after surgery
Especially after a tummy tuck!
When you smoke cigarettes or marijuana, you are inhaling carbon monoxide which binds to your red blood cells where oxygen would normally bind. This will diminish the amount of oxygen getting to your wound where it is needed for healing. It may not be as bad as smoking cigarettes, because you don't get the nicotine when smoking marijuana like you do when you smoke cigarettes, but it is still not good and may still lead to healing problems....wounds opening up, skin dying, or infections. The risk may be small, but may also be complicated by other factors. Definitely discuss this with your doctor.