How serious is vaping before BBL under local anaesthetic (tumescent anaesthesia)/conscious sedation?

Dear BonnieRose731,
every plastic surgeon has his own preoperative protocol which he recommends to his patients. I would suggest you to discuss this with your plastic surgeon.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

You must stop any kind of tobacco products including vaping. Vape includes nicotine where the vessels are affected in a negative way. And as BBL is a fat graft operation, the fat cells require a well-vascularized peaceful environment for better success. So it is best to stop smoking when you decide for the BBL until 6 months after operation.

Very serious! because if doing a Lipo360/BBL under local anesthesia w IV sedation you must have your airway in control since you are in the face down or prone position for at least 1 hour+. The vast majority of boarded Plastic Surgeons ONY offer BBL under light general anesthesia , for your safety and control of your airway. Since you vaper your airway is already compromised! Why are you taking suck a risk? Is your surgeon even a boarded PS? I recommend you re think your options. Good Luck and Be safe out there!

The major issue with nicotine use pre-op is that it causes vasoconstriction of the small blood vessels that are important for healing and for viability of fat after it gets transferred. By continuing to vape so close to your surgery you are running the risk of decreasing the amount of fat that actually takes or stays after the surgery. You are in essence jeopardizing the results.

Smoking or nicotine use can have serious detrimental impact on certain plastic surgery procedures.
For certain procedures like breast reductions or a tummy tuck massive complications which may include months of wound care leaving patients disfigured can be as high as 50% in those actively smoking and who do not quit in Time.
Each plastic surgeon will have their own view and policy. Some plastic surgeons will test for nicotine use through a blood test which detects nicotine abuse over a long period of time.
I’ve known plastic surgeons who canceled patient’s surgery without a refund if they’re positive on a nicotine test.
I suggest you contact your provider and ask what he or she recommends and what their policy is.
It’s a good idea to quit forever.
Best,
Mats Hagstrom MD

Hi and welcome to our forum!Most vaping solutions contain nicotine, a potent blood vessel constrictor which may impair circulation to your peripheral tissues, including your donor and recipient sites. The effect may last for weeks after cessation. It is best to tell your plastic surgeon about your predicament as different practices differ in their preoperative protocols for BBL.Best wishes...