Smoking and Rhinoplasty: What’s the Big Deal? Dr. Philip Miller

Dr. Philip Miller

May 29, 2018

Rhinoplasty Model in NYC No matter where you go for your rhinoplasty consultation, you’re likely to hear the facial plastic surgeon set the same mandatory rule: No smoking. In New York, rhinoplasty reigns high atop the list of popular procedures. Unfortunately, the CDC’s estimated number of Americans who smoke hovers around 43 million. Eventually, a smoker will walk through any given facial plastic surgeon’s door and request rhinoplasty surgery. That’s when the trouble starts. But what’s the big deal? Can smoking really affect your results and, if so, how? Find out more about the big deal between smoking and rhinoplasty.


When you’re reading about good candidates for the rhinoplasty procedure, you’re probably going to see a clause about not smoking. Most plastic surgeries, for the body and the face, claim that the best surgical candidates are “in good overall health, do not smoke, and have realistic expectations for their results.” These seem to be universal laws stated over and over again, for good reason too. If you’re planning to attend a consultation for a rhinoplasty surgery and you are a smoker, be prepared to discuss your temporary (or permanent) plan to quit smoking in order to have your procedure.


When you smoke cigarettes, you’re putting yourself at an obvious increased risk of disease and other health complications. As a rhinoplasty patient, cigarette smoking also poses these threats:

  • Improper or delayed healing
  • Necrosis, scarring, and/or skin loss
  • Constricted blood vessels and reduced oxygen and blood flow to the area
  • Lingering nicotine in the system for up to two weeks
  • Airway obstruction
  • Increased risk of anesthesia reaction
  • Nasal asymmetry or poor results
  • Excessive bleeding

While there are rumors that cigarette smoking causes issues with the vascular system of the nose, this is not among the many concerns facial plastic surgeons have for their patients who smoke to close to their surgery. The greatest threats of smoking lie in the recovery process and how difficult it may be for smokers to have the healthy, smooth healing journey they want.


Many patients who smoke have legitimate concerns about the effects that smoking could have on their post-operative rhinoplasty results. At your consultation, for example, your facial plastic surgeon will likely stress the importance of staying free of cigarettes for at least two weeks. While this is the current standard, it’s safest to delay smoking for at least four weeks or more, unless you can kick the habit permanently. Because nicotine constricts the blood vessels, the nose can easily be affected by poor healing, experience an increased risk of infection, or other complications that could lead to a second rhinoplasty surgery.

The nose is very delicate during the early stages of healing, so putting off your smoking habit for as long as possible is the best strategy to keep yourself healthy and your nose looking great. Just keep in mind that products like nicotine gum and the patch are equally as dangerous because of the nicotine present in them. Whether you’re a smoker or not, also steer clear of second-hand smoke as much as you can.


Get the best advice about your own healthy and safe rhinoplasty from a facial plastic surgeon with extensive experience in the field. An experienced facial plastic surgeon can provide more in-depth knowledge about the changes that will help your nose look its very best alongside your facial features. Dr. Philip Miller has specialized exclusively in facial plastic surgery, offering over 20 years of experience and knowledge to his patients.

A recognized expert in rhinoplasty, Dr. Miller has been frequently invited to share his specific techniques with his peers at various national facial plastic surgery meetings. He has been voted among the Best Doctors in America each year since 2007 and has also been named a Top Doctor of New York. To schedule a consultation with Dr. Miller, contact his office located at 60 East 56th Street, Third Floor in New York City, by calling (646) 791-3025.

Next, here are Five Tips on Designing Your New Nose

Dr. Philip Miller

Dr. Philip Miller

Focusing exclusively on the face for more than two decades, double-board certified facial plastic surgeon Dr. Philip Miller blends art and science with innovation and skill to provide thousands of patients with impeccable results. He is known for pioneering the NatraLook methodology for rhinoplasty, facelifts, neck lifts, and other cosmetic procedures for the face.

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