Should I postpone my procedure if I have smoked 3 weeks before hand?

The best person to ask is your surgeon, since each surgeon has their own pre-op instructions. Please notify them for your safety.

Hi, Thank you for the question.
I would encourage you to postpone your surgery for the safest and most predictable results.
A smoking history is also a known risk factor for increased complications with surgery, because nicotine and other toxins in tobacco products can cause damage and constriction of blood vessels. This can in turn decrease the blood supply to healing tissue and increase the risk of wound breakdown, skin loss, healing complications and nipple loss (partial of full-thickness nipple necrosis).
Regarding elective surgery and smoking, a cessation period of at least four to six weeks before surgery and after surgery has been recommended. Some physicians will do a nicotine test prior to surgery to ensure that the patient has been compliant and it is safe to proceed with surgery. Not only will smoking cessation help with reducing surgical complications and increasing the ability for wounds to heal, but it will also benefit patient’s overall well-being.
I suggest that you seek an in person consultation with a Board-Certified Plastic Surgeon to further discuss your options, specific techniques, concerns and expectations. Make sure you specifically look at before and after pictures of real patients who have had this surgery performed by your surgeon and evaluate their results.
I hope this helps.Best regards, Dr. Karanetz
Dr. Irena KaranetzFellowship-TrainedBoard Certified Plastic Surgeon