That s why expectations are the core topic for our pre-surgery consultations. If a candidate s expectations are unreasonable, or if they want the procedure for all the wrong reasons, I am reluctant to schedule the operation. These surgeries are just too important to be performed for the wrong reasons that almost guarantee a less than satisfactory outcome. Results will vary patient to patient depending on age, heredity, overall health, bone structure, and skin elasticity as well as other characteristics, and these factors will help select the procedure or procedures, as well. During the pre-op conference, based on an exam and a discussion of objectives and expectations, the appropriate procedure and anesthetic are agreed upon, and we cover possible risks and complications, as well.
Smoking constricts blood vessels and decreases blood flow all over the body.
The carbon monoxide in smoke greatly reduces the blood s ability to carry oxygen which is essential for wound healing and, in the case of a skin flap, the wound may not heal at all. Research has shown that if you smoke and inhale cigarettes, you are at least twelve times more likely than nonsmokers to heal poorly after a facelift. Even worse, the whole purpose of the surgery can be negated by unsightly scars. Of additional concern is the fact that if you have general anesthesia and also smoke, you may develop a hard cough that can cause internal bleeding. For all these reasons, smoking is strictly prohibited for our cosmetic surgery patients.