A member asked:

I just had a reconstructive rhinoplasty could smoking cause any damage?

13 doctors weighed in across 6 answers
Dr. Renee Burke answered

Specializes in Surgery - Plastics

Tobacco complication: Smoking can cause damage to any patient after surgery, including those undergoing reconstructive rhinoplasty. Nicotine constricts the blood vessels making the body less able to deliver well-oxygenated blood to healing tissues.

Answered 5/17/2016

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Dr. Robert Alexander answered

Specializes in Plastic Surgery

Yes: Smoking is not advised at any time, but is an irritant that is not needed post-surgery. It causes inflammation and prolongs swelling, as well as literally slowing the wound healing processes. Nicotine is not good for the nose or you.

Answered 12/13/2015

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Dr. Otto Placik answered

Specializes in Surgery - Plastics

Yes: Without a doubt, smoking is known to compromise wound healing due to carbon monoxide and nicotine's adverse effects on the healing process. Furthermore smoking prior to surgery will cause deleterious effects as well.

Answered 11/16/2014

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Dr. David Sherris answered

Specializes in Facial Plastic Surgery

Yes: Smoking adversely effects healing and should be avoided for at least 3-4 weeks after surgery.

Answered 7/20/2012

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Dr. Brock Ridenour answered

Specializes in Plastic Surgery

Yes: Smoking impairs the microcirculation (small blood vessels) starving the healing tissues of oxygen and dries the nasal lining. It is particularly harmful in the first few weeks after nasal surgery.

Answered 9/17/2013

5.8k views

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Dr. Babak Azizzadeh answered

Specializes in Facial Plastic Surgery

Possibly.: http://www.facialplastics.info/rhinoplasty-revision.html given the negative effects that smoking has on the body, it's possible that it will affect your recovery. Because smoking impairs circulation, the healing process can be slowed due to inadequate oxygen in the blood. I tell my patients to avoid smoking and all nicotine products for 2 weeks before and after their surgery.

Answered 8/9/2015

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