Why Is Smoking a Problem?
Nicotine causes vasoconstriction — narrowing of blood vessels. In facelift, where circulation of undermined skin is critical, this can lead to serious complications like flap necrosis. This is why we prioritize techniques that preserve as much vascularization as possible, such as [Endomidface.
Increased risks in smokers:
- • Skin necrosis — 12x higher risk
- • Suture dehiscence — 3x higher risk
- • Infection — 2x higher risk
- • Hematoma — increased risk
- • Poor healing
How Long to Stop Smoking?
Modern Face® Recommendation:
- Before surgery: Minimum 4-6 weeks without smoking
- After surgery: Minimum 4 weeks without smoking
- Ideal: Definitive cessation Important: This includes e-cigarettes, vapes, nicotine patches and any form of nicotine. The problem is the substance, not just the cigarette.
Can I Get a Facelift If I Smoke?
Yes, as long as you stop adequately. Surgery is not contraindicated for smokers — it’s contraindicated for those actively smoking. With adequate cessation, risks return close to normal.
“I don’t refuse smoking patients. I refuse patients who are not willing to temporarily stop to ensure their own safety.”
- — Dr. Robério Brandão
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