Smokers & Second Hand Smoke Exposure

Smoking, Second-Hand SmokeExposure, Nicotine Products(Patch, Gum,Nasal Spray) Patients, who are currently smoking, use tobacco products or nicotine products (patch, gum, or nasal spray) are at a greater risk for significant surgical complications including skin necrosis, delayed healing and additional scarring. Individuals exposed to second- hand smoke are also at potential risk for similar complications attributable to nicotine exposure. Additionally, smoking may have a significant negative effect on anesthesia and recovery from anesthesia, with coughing and possibly increased bleeding. Some complications that are more common in smokers include: bleeding, infection, blood clots, pulmonary embolus, poor healing, increased bruising, major wound breakdown, failure of flap surgery, wound and chest infections, pneumonia, thrombosis, and heart and lung complications. Individuals who are not exposed to tobacco smoke or nicotine-containing products have a significantly lower risk of this type of complication. Testing for nicotine is routinely performed on patients the day of surgery. Should you test positive for nicotine products, we reserve the right to cancel your procedure scheduled for that day. Refunds will not be given in this instance. Second-hand smoke exposure should be avoided for 6 weeks before surgery. You will freely accept and solely assume these risks if you are a smoker. You also must acknowledge that you have been counseled in detail by Dr. Maningas and/or his staff. It is important to refrain from smoking and the use of nicotine products for at least 6 weeks before surgery and until your physician states it is safe to resume.