Inhaling more than four thousand toxic substances, including carbon monoxide and nicotine, increases the chance of disaster in plastic surgery. As early as 1984 it was recognized that wound-healing problems after face-lifts were nearly thirteen times more likely to occur in smokers than in nonsmokers. Most reputable surgeons will not perform face-lifts, breast lifts, or tummy tucks on active smokers.
These are three procedures that lift large areas of skin, cut off excess tissue, and pull the tissues tight, sewing them in place. The skin's blood supply is dramatically reduced. Smokers who have breast reductions have complication rates three times higher than nonsmokers.
Their skin can simply die in these procedures, creating a nightmarish situation. There really is no solid information on how long it takes for a former smoker to decrease her risk. Most plastic surgeons will operate if a patient stops smoking a month before surgery and doesn't restart until a month afterward.
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