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Bottom line is it increases the risk of surgery - any surgery. If she is relatively young and healthy, the risk will be less. If she's been smoking for 30 years and has heart or lung problems, the risk will be greater. It also will tend to make her scarring worse. And if she is concerned about sagging skin after weight loss, it will tend to make that worse and if she wants to have plastic surgery, they will probably insist that she quit smoking. This is because smoking decreases the blood supply to the skin.
The above are the true, biologically based facts. Obviously there will be many people who smoke and come through surgery without any problems, just as there are many smokers who never get lung cancer.
Nancy
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Dr. Spivak 8/27/03
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