Tuesday, August 27, 2013

The Dangers of Smoking When Undergoing Cosmetic Surgery


We all know that smoking is an unhealthy lifestyle choice, but did you know that smoking can significantly affect your surgical outcome? No matter the type of surgery you’re planning to undergo – elective or otherwise – smoking will have adverse effects on your body before and after treatment. 

According to associate professor of anesthesiology at the Cleveland Clinic, Alparslan Turan, MD, smokers are 40% more likely to risk death within 30 days of their surgery. Plus, the risk of contracting pneumonia was double for smokers than the risk for nonsmokers.

During a 2010 American Society of Anesthesiologists meeting, Turan presented a comparative study noting the difference between 82,000 smokers and nonsmokers. The patients who smoked were more likely to experience the following health risks during surgery:

  •        57% more likely to have cardiac arrest
  •       73% more likely to have a stroke
  •        80% more likely to have a heart attack

Patients considering surgery of any kind should be advised that continuing the habit will compromise circulation and delay the healing process. Smoking can also lead to scaring, skin loss or infection. The rate of post-surgery infection in smokers is 12% while it is a mere 2% in non-smokers.

So, how does this happen? Cigarettes produce carbon monoxide, a toxin which restricts the flow of nutrient-rich blood to the body. It causes inflammation which can be so restrictive it starves parts of the body. If serious enough, organs and limbs can be permanently damaged.

Smokers who continue their habit before cosmetic surgery run the risk of these surgery-related complications:

  •       Blood Clots
  •      Heart Attack
  •        Death Post-Surgery
  •        Pneumonia


Patients who undergo cosmetic surgery treatments also experience a slower recovery time with the following procedures:

  •       Blepharoplasty (eyelid surgery)
  •       Breast augmentation / reduction / lift
  •       Face lifts
  •        Rhinoplasty (a nose job)
  •      Tummy tuck


In addition, smokers who receive anesthesia prior to surgery may not appreciate its full effects due to the restrictions already placed on the blood vessels. They may also experience sensitivities which affect the heart, lungs and nervous system. After surgery, patients who smoke are likely to be put on mechanical ventilation to prevent added complications.

Because of the seriousness of these smoking-related issues, it’s important to notify your surgeon and anesthesiologist if you smoke or have just quit prior to surgery. Full disclosure will help you realize the best treatment for your surgical needs.

Keep in mind that if you were to quit smoking cigarettes – even briefly – you would enjoy immediate results. Within 12 hours, a patient’s heart and lungs begin to function more regularly. Nicotine and carbon monoxide levels decrease while blood flow improves. The chance of wound complications is cut in half if a patient quits smoking 4 to 6 weeks prior to surgery and maintains their smoke-free commitment for 4 weeks after surgery.

If you are considering cosmetic surgery, doctors recommend that you quit smoking for at least 4 to 8 weeks prior to your procedure. Of course, they encourage patients to quit smoking cigarettes as soon as possible. They are quick to point out that studies have proven that smokers who quit at least one year prior to cosmetic surgery share the same level of risks as nonsmokers. Plus, former smokers are less likely to have long hospital stays and recovery times.

If you’re ready to improve your life and surgical outcome, talk to your doctor. He or she can provide options that will help you kick the habit and get your body in tip-top condition for surgery and recovery.

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