The Effects of Smoking on Plastic Surgery

You are always advised to stop smoking but if you’re planning to have plastic surgery, there are some procedures that would be contraindicated if you were an active smoker.  In addition to the harmful effects that cigarettes have on your lungs and heart, cigarettes also contain nicotine, a chemical that constricts your small blood vessels.  If nicotine is in your system (regardless of the source), there is a higher risk for wound complications and tissue breakdown, especially in flap-type procedures.  When a “flap” of tissue is raised, that segment of tissue has a restricted blood supply by nature of the procedural dissection.  If nicotine is in your system at the same time, its vessel constricting action further diminishes the blood supply to the “flap”, potentially to a point where the flap tissue may die off.


For this reason, flap-type procedures like a tummy tuck, facelift, breast lift and breast reduction are contraindicated in active smokers.  However, there are some procedures like liposuction and breast augmentation that are permissible if you’re unable to stop smoking because they do not involve the raising of flaps.

You should try to eliminate any source of nicotine for at least 2-3 weeks prior to surgery.  This is a minimum.  If you can achieve the smoking cessation for 2-3 months, that would be even better.  The longer you have nicotine out of your system, the lower the risks for wound complications.  Understandably, it can be difficult trying to stop your smoking addiction.  Fortunately, there are some methods to help you quit smoking like nicotine replacement therapy (gum or patch), medication (e.g. Chantix, Zyban), hypnosis, acupuncture and functional medicine.  Taking these steps can go a long way to improve your overall health, slow down aging and reduce your risks for surgery.

For more information, please schedule an appointment with Dr. Farris or simply call 214-363-1073.

Schedule A Consultation in Dallas

Please fill out the form below or give us a call to schedule your appointment.

What Happens in a Consultation?

01. Get to know Dr. Zachary Farris.

02. Help him understand you and your aesthetic goals.

03. Learn about our different services and specialties.

"Hands down the best doctor ever! Dr. Farris and his staff are amazing, I had problems with my breast implants (different doctor) and they were able to get me in the same day for a consultation and scheduled my surgery right away."

- M.N.

How May We Help?

  • Privacy Policy
  • This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

* All indicated fields must be completed.
Please include non-medical questions and correspondence only.

Accessibility Toolbar

Scroll to Top