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If you're a smoker, it's particularly important that you stop smoking for at least two weeks before and after surgery. Because smoking significantly reduces your body's circulation and vascularity, smokers generally heal slower and increase their risk of other complications such as necrosis (skin death), scarring, and skin loss.

More issues related to smoking after rhinoplasty, risks, and potential complications:

• Airway Obstruction
• Anesthesia Reaction
• Asymmetry
• Bleeding – Bleeding can occur for up to four weeks following surgery, and nasal packing may be required to control the bleeding. To minimize bleeding, it is important that the patient not blow or pick the nose.
• Burst Blood Vessels – Though a rare occurrence, it is possible for small burst blood vessels to appear on the surface of the skin as tiny red spots which may be permanent.
• Depressions of the Skin
• Discoloration of the Skin
• Extrusion of Implants
• Infection – Though the risk of infection is very low, less than 1% in fact, some signs may include redness, swelling, pain, and warmth.
• Internal Scar/Adhesions
• Keloid (heavy scar)
• Loss Of Smell
• Loss Of Structural Support
• Nerve Damage
• Numbness
• Pain
• Perforation Of Septum
• Permanent Numbness – Less than 1% risk
• Reactions to Medications
• Septal Hematoma – A collection of blood between the nasal mucosa and the cartilaginous septum.
• Sinusitis – Sinusitis is readily treated with antibiotics and other medications which shrink the nasal lining.
• Skin Irregularities
• Skin Necrosis – Or skin death, which is far more likely to occur with smokers.
• Slow Healing
• Swelling
• Toxic Shock Syndrome – Symptoms of toxic shock syndrome may include the appearance of a sunburn-like rash, fever, diarrhea, and vomiting. The risk is very low, only .016%, but the mortality rate of those with toxic shock is 11%.
• Wound Infection – Though the use of an implant increases the chance of infection, the risk is still less than 2%. Most infections can be treated with antibiotics and drainage.
• Visible Scar

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