Q: Why do I need to stop smoking in order to have a facelift?
A: Safety should always be the primary concern in any procedure. The goal of all plastic surgeons that perform facelifts is to improve the appearance with minimal side effects or problems. Exposure to smoke, either directly or indirectly, or the use of any nicotine releasing products, has been shown to increase the incidence of serious complications after facelift surgery and in most other cosmetic or reconstructive procedures. Most plastic surgeons, refuse to perform facelifts on patients who are active smokers or are using nicotine in any form. It is generally recommended that all smoking or the use of any nicotine releasing products should be completely stopped at least 10- 14 days before a facelift, and for a minimum of 10-14 days after the surgical procedure. Ideally, one should stop permanently, not just because of its effect on aging, but from an overall health perspective.
All wound healing depends on blood supply. The blood flow to the skin and underlying tissue is diminished by smoking, which constricts the small blood vessels. Smokers have a significantly higher rate of delayed healing, infection, opening of the incisions, necrosis or loss of the facial skin that is elevated and the underlying tissue, poor scarring, and anesthesia problems.
Be honest with your plastic surgeon about your exposure to smoke and follow all instructions. Remember that you are a participant in your care.
Robert Singer, MD FACS
La Jolla, California