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Can I smoke again after a surgery?

Dear Doctor,

My name is Gerald Ehlert and I recently underwent surgery. I am a long-time smoker and I am wondering if it is safe to start smoking again after the operation.

The surgery I had was an abdominoplasty, which was necessary due to significant weight loss. I prepared for the surgery and followed all the instructions given by my treating physician post-operation. Now that the wound is slowly healing and the pain is gradually subsiding, I am thinking about my smoking habits.

I am aware that smoking can impair wound healing and lead to complications. I have heard that smoking restricts blood flow and reduces oxygen supply in the body, which can delay healing. On the other hand, smoking is a long-standing habit that is difficult to break for me.

I am concerned that my smoking behavior could affect my recovery after the operation. At the same time, I am wondering if it is even possible to start smoking again after the operation without complications.

Can you please tell me if it is safe to smoke again after surgery? Are there any potential risks or complications that I should be aware of? And if so, are there alternative solutions or strategies to change my smoking habits?

Thank you in advance for your help and advice.

Sincerely,
Gerald Ehlert

Ludwig Kroll

Dear Gerald Ehlert,

Thank you for your question regarding smoking after surgery, especially after an abdominoplasty. As a surgeon and expert in this field, I would like to provide you with a detailed answer.

First and foremost, it is important to understand that smoking after surgery is generally not recommended, as it can indeed impair wound healing. As you have already mentioned, smoking can restrict blood flow, leading to decreased oxygen supply in the body. This can delay healing and increase the risk of infections. Particularly in an abdominoplasty, where the skin is tightened and repositioned, good blood circulation and oxygen supply to the skin are crucial for successful wound healing.

Furthermore, smoking can also increase the risk of complications such as wound healing problems, scarring, and infections. It can also result in delayed recovery and overall poorer surgical outcomes. Therefore, it is advisable to avoid smoking after surgery to achieve the best possible results.

However, I understand that quitting smoking can be a challenge, especially if it is a long-standing habit. There are various alternative solutions and strategies available to change your smoking habits and quit. These include nicotine replacement therapies such as patches or gum, behavioral therapies, support groups, or medical counseling and assistance from your doctor.

It is important to discuss your smoking habits with your treating physician and work together to develop a plan to quit smoking in the long term. Your doctor can help you find alternative solutions and support you in the process.

Overall, I strongly recommend that you do not resume smoking after surgery to avoid compromising your recovery and achieve the best possible results. I hope that my answer is helpful to you and I am available to assist with any further questions.

Best regards,
Ludwig Kroll

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Ludwig Kroll