I'm having a breast lift and implants on wednesday and i've been smoking the e-cigg for 5 years now instead of cigarettes. will this have a negative effect on my surgery and how?

No: It shouldn't asversely affect the surgery or the outcome but you should discuss all of your concerns with your surgeon prior to the operation.

Jury is still out : In theory the esig should be better than regular cigarettes, but have haven't seen definitive proof of that. It looks as though the fda is still investigating proof of safety.

Nicotine and healing: Nicotine intake, whether via cigarettes, e-cigarettes, cigars, gum, or patch, impairs wound healing significantly. Nicotine is a vasoconstrictor that results in reduced blood flow to the skin, can impede wound healing, and can increase the risk of complications, such as incision separation, partial skin flap loss, implant exposure, etc. This negative effect lasts 3-4 wks with even one cigarette.

Not recommended: Smokers (e-cigs too) have a higher risk of complications, from capsular contracture around the implant, to severe healing problems related to circulatory disturbances.

E-cigs = nicotine: Not all do, but most. Get off them 2-4 weeks pre-op and stay off another month. You should heal better.

Nicotine Free: You will need to make sure that the device you are using is nicotine free. Nicotine behaves as a vasoconstrictor of vessels thereby decreasing blood flow to tissues ( that need to receive blood flow to heal after surgery).  a decrease in this blood flow may result in wound healing problems and/or tissue death. Patients should avoid all forms of nicotine ( smoking, gum, patches), perioperatively.