Nicotine patch before breast augmentation?

Thank you for your question.  Because nicotine causes vasoconstriction, nicotine in any form is not advised prior to surgery.  My advice is to speak with your plastic surgeon regarding your particular circumstances.  Good luck.

Nicotine causes vasoconstriction, causing the small blood vessels to constrict, or narrow, which eliminates proper blood flow to the healing areas that need it most. I recommend no nicotine about 4-6 weeks prior and well as post operatively to ensure the best healing with no wound healing issues.  All surgeons have different protocols and preferences, so make sure you consult once again with your Physician.Good luck and congrats on your upcoming procedure. 

I encourage you to eliminate all nicotine at least 2-4 weeks prior to surgery. Nicotine can reduce blood flow to surgical areas, thereby increasing risk of wound healing complications.

I have seen complications from someone using a nicotine patch after a face lift because it compromised the blood flow to the skin.  With a breast augmentation the risk is much lower but I would want you off the patch after surgery for at least a few days.

The issue isn't the smoking specifically, it is the nicotine regardless of source. Nicotine constricts capillaries, reducing blood flow to the surgical site. Routine breast augmentation is low risk with nicotine exposure but when there is undermining and tightening - breast lifts, tummy tucks, and facelifts - there is a very real risk of severe healing problems.