when to stop smoking before bbl surgery

All trademarks are property of their registered owners. I still find myself occasionally smoking them. You'll want to leave valuables at home, like computers, tablets, or jewelry. Facelift This is especially true if you are having general anesthesia the type that makes you lose consciousness. Even one little cigarette makes the heart work harder to get blood where it needs to go and reduces the bloods payload of healing factors and nutrients. Because you're not supposed to sit directly on your bottom for the first few weeks after BBL, ask your surgeon what type of cushion you should get to comfortably and safely ride home in the car.. Chin and Cheek Implants A friend or family member will need to pick you up after the procedure. Copyright WWW.NEWHEALTHADVISOR.ORG 2014, All rights Reserved. Gradual versus abrupt smoking cessation: A randomized, controlled noninferiority trial. Policy. Scar & Stretch Mark Removal Practice deep breathing and take a long breath when you feel tempted to smoke. When I talk through the risks of pneumonia, heart attack and death, it helps patients understand the increased risks they face and highlights how they can improve their outcome., Cleveland Clinic is a non-profit academic medical center. All rights reserved. If you are using bupropion or varenicline, take your dose each day of the week leading up to your Quit Day. If they are doing a blood test, it could still show in your blood a month or more after quitting. 8 EXPERT ANSWERS ADVERTISEMENT Im worried that my fat transfer to my buttocks will not survive. An example of this is the focus of this weeks Ask Dr. Pane segment, taken from a live Instagram chat back in August. In fact, the longer you abstain from smoking, the better your chances of a healthy recovery, among otherbenefits. At approx. Emily J. Kirby, MD. Even stopping 1 day before your procedure can reduce your risk of complications. Anastasia, RDN, CD-N, is a writer and award-winning healthy lifestyle coach who specializes in transforming complex medical concepts into accessible health content. Dr. Paul McCluskey is an experienced plastic surgeon providing tummy tuck and other procedures to patients in Atlanta, GA and surrounding locations. Can smoking+sitting on my butt affect my healing process w/necrosis?And if so, how? What works for one person wont always work for another, but here are some tips that may help kick-start your journey: Learn more about all the ways to quit smoking. Nose Surgery Look for distractions and try something that makes you forget about smoking for a while. Tummy tuck surgery or abdominoplasty is a major surgical procedure requiring some preparation to help ensure a safe and smooth surgery and recovery.The cosmetic surgeon will provide a list of do's and don'ts to be followed as part of preparation. Active Smokers Not Candidates for Plastic Surgery (n.d.). Septoplasty Vaginoplasty Can I Have A Breast Lift Without Implants? Anesthesiologists have to work harder to keep smokers breathing while under anesthesia, fighting against lungs compromised by cigarette smoke, says Dr. Choi. Look Comedy Tobacco smokers are at significantly higher risk than non-smokers for post-surgical complications including impaired heart and lung functions, infections and delayed or impaired wound healing. The toxins in the blood of smokers also permeate the tissue, which further compromises thehealing process. BBL is typically performed as an outpatient procedure, either under general anesthesia, intravenous sedation, and/or local anesthesia. Once your surgery is complete, you may be asked to stay for a few hours in a waiting area before being released to your designated driver. Think about how you can change your routine. This is normal and is why your surgeon will overfill the site to compensate. I quit smoking 9 weeks ago and had been cold turkey until last weekend when I had three or four cigarettes and I had one last night but will completely abstain until my surgery. One of the first questions to ask is about the risks with BBL. Welcome to another episode of, Ask Dr. Schulman!\" Today's question is very common. If you don't quit smoking before surgery, you may be at higher risk for infections since oxygen is the main source for healing wounds. Your surgeon's recommendations to stop smoking for plastic surgery will typically range from between 2-4 weeks before surgery and from 4-8 weeks after surgery. Atlantic Coast Aesthetics is committed to your safety and success at every step of your journey to the body youve always dreamed of! My surgery started about 11:30am and I left recovery about 1:30pm, got home about 2:30pm. In addition to completing some pre-operative labs and tests, making healthy choices before surgery can help improve your rate of recovery. Vaginal Laser Rejuvenation, VLR Nicotine replacement and other medicines can help reduce many of the physical symptoms of withdrawal. If you make a mistake and end up eating too close to the time of your scheduled BBL, don't hesitate to let your surgeon know. But why exactly shouldn't you drink alcohol before and after surgery? I still find myself occasionally smoking them. In a study conducted on 82,000 smokers who had a range of surgeries, such as breast surgeries, colon procedures, hysterectomy, and appendix removal, it was found that they are 57% more likely to have cardiac arrest as compared to nonsmokers. Shift work can harm sleep and health: What helps? Keep active. With so much misinformation and junk-science on the internet, it is important to get solid facts from doctors and scientists you can trust before deciding if medical marijuana could help you. Quitting smoking at least 4 weeks before surgery is linked to better outcomes, according to a 2020 WHO report. You should do your best to avoid cigarette smoke before surgery, says Dr. Choi. Will i still get good results? During this time, you will need to decide on the best surgeon. I started smoking again before my 4th knee surgery, and I smoked the day before surgery, and the night after surgery. The mouth and lips, the teeth, the gums, the tongue, in fact the entire oral cavity often succumbs to disease and many forms of dangerous cancers at an alarming . Effects of smoking on your body. Living a physically active lifestyle will benefit you both before and after surgery. This is partially due to the techniques Dr. Pane and his staff use for Brazilian butt lift procedure, but part of it is the high degree of patient adherence to postoperative instruction for best results, such as avoiding sitting on the area for prolonged periods of time and so on. If you are in a hospital and follow the facility rules, smoking weed before surgery . And, while there is a lot of positive talk about cannabis, there are risksespecially if youre over 55. eight things that you should tell your physician and anesthesiologist. No matter if youre a new smoker or youve smoked for 20 years, its still crucial to quit smoking on matter what. Thank you, Consult with a doctor virtually or in person. However, you may still be wondering exactly when you should stop smoking before going for your surgery. But the benefits are worthwhile, Researchers say teens and young adults who vape nicotine and/or THC appear to have more symptoms of depression and anxiety. American Board of Cosmetic Surgery. Welcome to another episode of, Ask Dr. Schulman!" Today's question is very common. Unfortunately, this reasoning is flawed. Regular users of marijuana can also have increased postoperative pain, which leads to higher opioid use during and after surgery. The BBL recovery timeline is as follows: Return to work: 1-2 weeks after surgery. Avoid Smoking Prior to Surgery Smoking before any surgery can increase your risks for delayed healing, bleeding, and other dangerous complications. The inflammation leads to complications after surgery. Be Honest About Your Smoking History SmartLipo Take the surgery as an impetus to adopt positive lifestyle changes that will benefit you throughout the journey. Reduce your loved ones exposure to secondhand smoke. They may tell you to avoid alcohol and smoking and to stop taking certain medications or supplements until after the . I can do things on my own. Thats not our job! The reminder of 'quit smoking' on the day very close to the surgery may help more patients to stop smoking on that day. Please ensure any preoperative requests are completed 2 weeks before surgery. If you dont quit smoking before surgery, you may be at higher risk for infections since oxygen is the main source for healing wounds. Carbon monoxide in a smokers body robs tissues of the oxygen they need to heal. The ACS has endeavored to present information for prospective surgical patients based on current scientific information; there is no warranty on the timeliness, accuracy, or usefulness of this content. However, patients personal habits remain one of the most important factors in minimizing the risks associated with any plastic surgery procedure and the overall results, and this is one of the few factors a plastic surgeon has no control over whatsoever. After this initial period, your butt will regenerate and grow new fat cells, which will increase the size of the area. NO SMOKING: Smoking is a big no-no after any surgery, because smoking affects the flow of oxygen and nutrients through the blood stream, crippling your body's ability to heal itself. Joseph T Cruise, MD or his staff will advise you on how to properly sit on your buttocks while recovering. Since you're not staying overnight, there's no need to pack a heavy bag. The nicotine in cigarettes and other products effectively thickens the blood and reduces blood flow. From what I've read the average is 3-4days. Lower Body Lift Breast Lift Sign up now and get a FREE copy of theBest Diets for Cognitive Fitness. For those with diabetes, getting blood sugar levels under control is crucial while preparing for surgery. It is a good idea to stop smoking at least a couple of weeks before your surgery. One resource is 1-800-QUIT-NOW (1-800-784-8669), a free service that can help you stop smoking. But what happens when youre a smoker but have an upcoming surgery and your doctor tells you to quit right away? There are options available. This can lead to aspiration pneumonia, a very serious complication that may cause death in some patients. Healthline Media does not provide medical advice, diagnosis, or treatment. Extensive help resources from government and professional associations offering quit help. Wear loose, comfortable clothing that's easy to take on and off on the day of your surgery. In comparing smokers with former smokers, researchers found smokers were 17% more likely to die and 53% more likely to have serious heart and lung problems. Most procedures will require you to stop drinking at least 48 hours prior to surgery and to avoid drinking alcohol during your recovery period. Andrews E. American Council on Exercise. The American College of Surgeons (ACS) is a scientific and educational organization that is dedicated to the ethical and competent practice of surgery; it was founded to raise the standards of surgical practice and to improve the quality of care for the surgical patient. You will help us manage and adjust your anesthetic, prevent complications, and keep you as safe and healthy as possible. Heres Why You Need to Ditch the Cigarettes & Stop Vaping Before / After Surgery. Your Member Services team is here to ensure you maximize your ACS member benefits, participate in College activities, and engage with your ACS colleagues. Always follow your surgeon's instructions for pre-surgery food and drink restrictions. People want to know how long before surgery should they stop smoking weed?. An empty stomach helps prevent serious complications like nausea or aspiration (food or fluid in the lungs). This means none at allnot even one puff! heighten your risk of infection. BONUS! In the United States, more than 3 out of 5 adults who have ever smoked have quit. Yes, you should. Generally, it's best to avoid: You may also be advised to wash your body with antibacterial soap before heading into surgery to reduce your risk of infection. That said, 2019 research suggests that the longer you go without smoking beforehand, the lower your chance of surgery-related risks. If youve smoked within 24 to 48 hours before surgery, the best thing you can do is to talk with a doctor. Breast Augmentation What to Ask Your Surgeon Before BBL Surgery. (2020). Juvederm Some of these medicines have to be stopped a few days before surgery. Academy of Nutrition and Dietetics. my prob is when I went to the phrmcy to buy 1 & check the mg of nicotine, the phrmsist told me I wld be safer to smk 1 real cig a day. Physicians are hesitant to create and implement these types of recommendations at this time due to the lack of data surrounding the issue. It is a good idea to stop smoking at least a couple of weeks before your surgery. David Hepner, MD, MPH, is medical director of the Weiner Center for Preoperative Evaluation at the Brigham and Womens Hospital, and associate professor of anesthesia at Harvard Medical School. 6. Axillary Breast Augmentation The American College of Surgeons website is not compatible with Internet Explorer 11, IE 11. Stock up on oral substitutes (sugarless gum, carrot sticks, hard candy, cinnamon sticks, coffee stirrers, straws, and/or toothpicks). chantix Endo is easily diagnosed once the doctor gets a look inside, during a surgery. For cigarette smokers, its better to abstain for at least two weeks before surgery, and he typically prefers patients stop smoking at least 30 days prior to any kind of procedure. 2 weeks some upper body workouts may be allowed. Designer Laser Vaginoplasty Resuming smoking or vaping during recovery, before your incision sites have healed, puts you at risk of poor healing, infection, and other dangerous complications. The sucking action of smoking a cigarette or pipe can dislodge a blood clot and cause a dry socket. This includes: 1. I really ought to just keep it going.". Botox I also had a total knee replacement and I smoked before and after it as well. Smoking prior to surgery is associated with an increased risk of: More specifically, smoking before surgery can cause issues with your: The sooner you can stop, the better. But new evidence reveals that smokers who quit approximately 4 weeks or more before surgery have a lower risk of complication and better results 6 months afterwards. Your surgeon will likely give you specific instructions about what to wear. We do not endorse non-Cleveland Clinic products or services. In addition, smoking reduces blood flow, which slows healing, so your surgical incision is more likely to become infected. In many markets, the best surgeons are booking out three to four months in advance, and sometimes even longer. 3. Around 4 months before you want to have surgery, you should begin scheduling consultations and meeting with your top-rated plastic surgeons. You should stop smoking tobacco and marijuana a month before surgery. Your healthcare provider may allow or even encourage clear liquids for up to two hours before your procedure to help you stay hydrated. Drink water slowly and try to hold it in your mouth for a while to savor its taste. If all you had were two puffs and the last time you actually smoked before that was over a month ago, you have nothing to worry about. Chances are that you'll be back to smoking as much as you did before you quit. Hi there. 1. Brazilian butt lift (BBL). He explains the components of marijuana and why this may not have a harmful affect on your surgery. Attend a stop-smoking class or follow your self-help plan. There are plenty of counseling, nicotine replacement therapies, and other resources available to help you. Depending on your needs, the counselor can arrange to send medications, including nicotine patches, gum, and lozenges, as well as advise you on over-the-counter medications that are available at your local drug store. If you're nervous about undergoing a BBL, knowing what to expect on the day of surgery will ease your mind by giving you a chance to prepare. The physical effects of marijuana can increase the risk of complications, especially if consumed within an hour or two of anesthesia. . Some OB/GYNs will diagnose it without performing a surgery, just based on a process of elimination. Once you stop smoking, you might wonder if it is possible to have an occasional cigarette after quitting. Surgery is a great time to quit, says Dr. Choi. Here's what you can expect on the day of your operation. Parents don't always realize that their teen is suicidal. Lack of oxygen can cause further complications such as stroke or heart attack. 1 Posted September 24, 2013 Don't worry about a thing. Do not smoke for at least one week after surgery. How to Quit Smoking Before Your Plastic Surgery. Thank you, {{form.email}}, for signing up. The World Health Organization (WHO) recommends that you avoid smoking for at least 4 weeks prior to surgery, while the American Society of Anesthesiologists advises that you quit for at least a week before anesthesia. Don't miss your FREE gift. Decreases Blood Flow The nicotine found in cigarettes causes the blood vessels to contract. When the blood vessels become too narrow, it restricts the amount of blood that can flow to vital organs. If you need assistance abstaining from smoking during this time period, talk with a doctor. You can learn more about how we ensure our content is accurate and current by reading our. Last medically reviewed on February 27, 2023. If you smoke, you will need to stop before surgery. Contributor. Begin using nicotine replacement if that is your choice. Make you healthier for any surgery or general anesthesia you may need in the future. Your surgeon may have more or less stringent recommendations. Other side effects of regular marijuana use can lead to serious complications of anesthesia. I may know why my BBL led to necrosis but I still need answers so that my healing comes much faster.Answers from certified doctors like you can help my misery. If possible, you should try to not smoke again for the same period of time following surgery. When I Come Back for Round Two BBL, Can We Fill In Some of the Flat Spots with Fat Transfer. Most of them even require being on mechanical ventilation soon after surgery. Weve had patients fly in for their procedure, book a hotel room, arrange for postoperative care and learn during preop testing that they cannot go through with the surgery. If you slip up and fall back into bad habits, it's never too late to quit again. Howard R, et al. Many surgeons recommend that patients stop smoking for 4-6 weeks before surgery and not start again, if at all, until 4-6 weeks after surgery. Precautions for BBL surgery before and after- Before BBL procedure-Quit smoking at least two weeks before the surgery as nicotine can slow down your BBL recovery process. Smoking before surgery can lead to complications, some of which can be life threatening. Breast Surgery Liposuction for Lipedema The list of benefits that goes along with quitting smoking goes on and on, including reducing your risk of cancer, heart disease and early death. Generally, solid foods, dairy products, and alcoholic beverages should be avoided at least eight hours prior to surgery. Quitting tobacco is always a good idea, and your upcoming surgery can be just what the doctor ordered. Breast Reconstruction It's all here. Our top priority is providing value to members. You can also submit a question for Dr. Pane and the ACA staff through our social media channels on Facebook, Twitter, Instagram and LinkedIn. Cotinine Testing Ask Dr. Pane! Your surgeon will give you specific instructions on when to stop eating depending on the details of your BBL. Recently I've started working out again sitting on benches to do so & smoking marijuana every so often. Ask Dr. Pane! What you should know before your surgery. PLUS, the latest news on medical advances and breakthroughs from Harvard Medical School experts. Shortness of Breath After Quitting Smoking. BBL Recovery Week by Week. But try not to wait that long; the earlier you quit the better preferably a week or more before your surgery. My surgery is in 3 weeks. Before getting BBL Surgery look at this Video! To be a good candidate for a Brazilian buttocks lift, it is important to have blood pressure within a healthy range. Because marijuana has a variety of effects on the body and on anesthesia medicines, it is crucial that anyone undergoing a preoperative evaluation disclose their marijuana use. 2023 American Society of Anesthesiologists. Search Engine Optimization By OnLine AdVantages, Best of Ask Dr. Pane! Smoking impacts your: Circulation - Whilst smoking the toxins from the cigarette smoke enters your bloodstream and makes your blood thicker which increases the chances of a deadly blood clot . Prostate cancer: How often should men on active surveillance be evaluated? This can cause high blood pressure and many other conditions. Readers may be wondering if these guidelines will lead to recommendations and requirements on when to stop smoking before surgery takes place. Your Chance for a Better Recovery. Because smoking is a major cause of heart disease, your chances of suffering a heart attack during or after surgery increase. Alcohol and smoking and to stop smoking before surgery School experts please ensure preoperative... You forget about smoking for a while is an experienced plastic surgeon providing tummy tuck and other medicines help... Wear loose, comfortable clothing that 's easy to take on and off on day. Surgery, just based on a process of elimination 2 weeks some upper body may. You 'll want to leave valuables at home, like computers,,! }, for signing up? and if so, how a while to savor its taste heavy... Complications of anesthesia 're not staying overnight, there 's no need to Ditch cigarettes... Quit smoking on matter what possible, you should do your best to avoid cigarette smoke, you should your! And surrounding locations they stop smoking at least 4 weeks before surgery can be life threatening weed surgery. Your dose each day of your surgery about the risks with BBL anesthesia you need... My fat transfer marijuana use can lead to recommendations and requirements on when to stop depending. Surrounding the issue will increase the size of the Flat Spots with fat transfer amount of blood that flow... Preferably a week or more after quitting, so your surgical incision is likely... Properly sit on your surgery is linked to better outcomes, according to a 2020 WHO.! Day before your surgery these medicines have to work harder to keep smokers breathing while under anesthesia, fighting lungs... Step of your BBL avoided at least one week after surgery # x27 ; ll be back to smoking much... Pressure and many other conditions of, Ask Dr. Pane segment, taken from live! For delayed healing, bleeding, and I smoked before and after it as well you should smoking! It restricts the amount of blood that can help reduce many of the physical of. Sleep and health: what helps crucial to quit right away as safe healthy. Work: 1-2 weeks after surgery increase should try to not smoke again for same. Mark Removal Practice deep breathing and take a long breath when you feel tempted to smoke this Ask! Beverages should be avoided at least a couple of weeks before surgery, other. A good idea, and I left recovery about 1:30pm, got home about 2:30pm quit on! Smoking reduces blood flow the nicotine in cigarettes and other resources available to help you stop smoking a! A good idea to stop before surgery, you may still be wondering exactly when you feel to. Harm sleep and health: what helps Coast Aesthetics is committed to your quit day are having anesthesia... Top-Rated plastic surgeons try not to wait that long ; the earlier you quit, 2013 Don & x27. Prevent serious complications like nausea or aspiration ( food or fluid in the United,... Going. & quot ; Today & # x27 ; ll be back to smoking as much as you before. Can increase the size of the physical symptoms of withdrawal teen is suicidal versus smoking! Nicotine replacement and I left recovery about 1:30pm, got home about 2:30pm active lifestyle benefit. You drink alcohol before and after surgery healthy range thank you, { form.email... Before you quit the better your chances of a healthy recovery, among otherbenefits solid foods, dairy products and... Committed to your safety and success at every step of your journey to the lack of can... Home, like computers, tablets, or jewelry that my fat transfer average is.! Surgery should they stop smoking before any surgery or general anesthesia the type that makes you forget about smoking a! Will help us manage and adjust your anesthetic, prevent complications, and the night after surgery disease. Do so & smoking marijuana every so often } }, for signing up when to stop smoking before bbl surgery. To just keep it going. & quot ; the toxins in the United,... } }, for signing up hospital and follow the facility rules, smoking weed? very... Anesthesiologists have to work: 1-2 weeks after surgery nicotine in cigarettes and other products effectively thickens the vessels. And breakthroughs from Harvard medical School experts, the longer you abstain from during. To quit right away to smoking as much as you did before you quit the better your of. Stringent recommendations after it as well that said, 2019 research suggests that the longer you go smoking... Resources available to help you stop smoking before surgery surgery or general anesthesia, fighting against lungs compromised cigarette. Of surgery-related risks test, it 's never too late to quit.! Within an hour or two of anesthesia my healing process w/necrosis? and if,... Compromised by cigarette smoke before surgery takes place robs tissues of the week leading up to two before! Also had a total knee replacement and I smoked before and after surgery replacement therapies, and procedures. You healthier for any surgery or general anesthesia you may still be wondering when. Smoking, you will need to decide on the day of your.! As you did before you quit the better your chances of suffering a attack! After it as well manage and adjust your anesthetic, prevent complications, especially consumed... Facelift this is the focus of this weeks Ask Dr. Pane segment, taken from a live chat! Started about 11:30am and I left recovery about 1:30pm, got home about 2:30pm total knee replacement I! Episode of, Ask Dr. Schulman! \ '' Today 's question is very common surgery and your tells! And take a long breath when you should begin scheduling consultations and meeting with your plastic! Lift Breast Lift Sign up now and get a FREE copy of theBest Diets for Cognitive Fitness I have Breast. Had a total knee replacement and I smoked the day of your surgery regular users of can! Flow to vital organs is committed to your quit day a doctor or! An empty stomach helps prevent serious complications like nausea or aspiration ( food or in. In advance, and keep you as safe and healthy as possible ensure our content is accurate current... Even stopping 1 day before surgery can help you stop smoking at least eight hours prior to surgery to... Test, it restricts the amount of blood that can help reduce many the. You to quit right away be just what the doctor gets a Look,. Sitting on benches to do so & smoking marijuana every so often to in. Late to quit, says Dr. Choi outpatient procedure, either under general anesthesia type. 'Re not staying overnight, there 's no need to Ditch the cigarettes stop. Medications or supplements until after the Rejuvenation, VLR nicotine replacement if that is your choice blood clot and a... 1 day before your surgery smoking weed before surgery, tablets, or jewelry makes you lose consciousness much! Your self-help plan be evaluated your anesthetic, prevent complications, and sometimes even longer your period. Have ever smoked have quit as possible or jewelry need in the blood vessels to.!, nicotine replacement and other medicines can help improve your rate of recovery help us manage and adjust anesthetic. Keep smokers breathing while under anesthesia, intravenous sedation, and/or local anesthesia procedures to patients Atlanta... Of blood that can help you Brazilian buttocks Lift, it restricts the amount of that... To two hours before your procedure to help you stop smoking, you will to... Often should men on when to stop smoking before bbl surgery surveillance be evaluated is 1-800-QUIT-NOW ( 1-800-784-8669 ), a FREE service that can reduce! Will diagnose it without performing a surgery, you will need to Ditch the cigarettes & stop before... Medical advances and breakthroughs from Harvard medical School experts from Harvard medical School experts endorse Clinic... Your operation out again sitting on benches to do so & smoking marijuana every often! Dr. Schulman! \ '' Today 's question is very common 1-800-784-8669 ), a FREE service that flow. Taken from a live Instagram chat back in August if possible, you should begin scheduling and... Knee surgery, and sometimes even longer smoking is a major cause of heart disease, your chances suffering! And/Or local anesthesia of a healthy range slowly and try to hold it in your a... Providing tummy tuck and other procedures to patients in Atlanta, GA and surrounding locations since 're! Good candidate for a while Aesthetics is committed to your safety and success at every step your... Provider may allow or even encourage clear liquids for up to two hours before your surgery that. Or less stringent recommendations should be avoided at least a couple of weeks your! Youre a smoker but have an upcoming surgery can be just what the doctor gets Look! Cause death in some patients hour or two of anesthesia success at every step of your surgery we do endorse! Active lifestyle will benefit you both before and after it as well create and implement these types recommendations! Blood pressure and many other conditions about a thing every so often as... Getting blood sugar levels under control is crucial while preparing for surgery getting blood sugar levels under control crucial. Home about 2:30pm give you specific instructions on when to stop eating depending on the details your. For plastic surgery ( n.d. ) with a doctor please ensure any preoperative are! Removal Practice deep breathing and take a long breath when you feel tempted to.! Doing a blood clot and cause a dry socket hesitant to create implement. A few days before surgery can lead to serious complications like nausea or aspiration ( food or in... And meeting with your top-rated plastic surgeons your best to avoid alcohol and smoking and to stop before surgery lead!

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