Can secondhand smoke cause a positive test result for nicotine before surgery?

Question

I had breast augmentation in 2017 and I need to have a revision. The doctor now does nicotine testing at an extreme level. If they find nicotine in your urine they won’t do the surgery and will reschedule. My boyfriend who I live with and would be driving me to the surgery smokes and I’m worried that the second hand smoke will give a positive result even though I do not smoke. Any suggestions or have you seen anything like this?

Daniel Barrett, MD · Answer

Dear wizardlyfoot76,
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, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Connie Hiers, MD, FACS · Answer

We have all seen this. Ask your boyfriend to smoke outside and never in the car with you. He can do this for you if he cares.

Can secondhand smoke cause a positive test result for nicotine before surgery?

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