No. You absolutely must refrain from smoking for at least one month before and after a facelift or neck lift. This includes any form of nicotine such as secondary smoke, nicotine gum, patches or vaping. Nicotine causes narrowing of the blood vessels which limits the blood supply to the skin (vasoconstriction). When the skin has been undermined and pulled tight as in a facelift, neck lift, arm lift, thigh lift, breast lift, breast reduction or tummy tuck, even a very small amount of nicotine can reduce the blood supply to the skin enough to cause it to die (necrosis). This can result in severe scarring that may be permanent.