Smoking and reconstruction

Cinde
Cinde Member Posts: 13
edited December 2018 in Breast Reconstruction

Has any one still smoked and had a TFlap.  . I am trying so hard to quit. My surgery is in May I am down to 2 cigs a day. is there help for me?

Comments

  • kcshreve
    kcshreve Member Posts: 1,148
    edited April 2010

    My PS has commented many times on those who are smoking during this recon time - higher rates of problems.  Worth quitting and staying quitting for awhile.

  • caridixon
    caridixon Member Posts: 5
    edited April 2010

    It was put to me like this (I don't smoke) but if you cut your finger off and are a regular smoker, the chances of the finger taking are slim.... So putting that in terms of a huge surgery...ugh. Does your PS know that you smoke? I was told smokers are not a candidate for these surgeries if they smoke. Please just stop, it's stinky and hurting you every puff you take inside your precious lungs. Is that your baby girl in the pic? They say third hand smoke on your clothes affects them, do it for her too =) Good luck, I know it's as hard as dieting sometimes. Best of Luck ((hugs))

  • She
    She Member Posts: 503
    edited April 2010

    Help is here ...

    I guess quitting or not quitting depends on your priorities.  Smoking decreases oxygen flow to your skin.  Haven't you noticed your complexion getting more color since you cut back?

    If you want to give your flap surgery the best possible chance of survival, you'll quit.  Today.  Right now.  It isn't about how hard or easy it is to quit.  Get your priorities straight.  If you're going to go through a big surgery like this why on earth would you risk sabotaging it? 

    If you can't do it alone go to the doctor today and get help.  If your PS doesn't know about your smoking you'd better 'fess up now so he can decide if he needs to reschedule your surgery in your own best interests.

    I quit 4 months before my bilat DIEP so I do understand what you're going through.  It wasn't easy and there are still days I'd love a cigarette,  But, I sucked it up and quit and I'll never smoke again.  You can do it too.

    Sending you {{{Strength & Determination}}}, She

  • 3monstmama
    3monstmama Member Posts: 1,447
    edited April 2010

    Like everyone else, I have heard that healing is much harder if you are smoking.  My DH was a hard core smoker.  He finally quit using a combination of will power and meds.  Many states now have free programs to give you prescriptions for drugs to help with stopping smoking.  Maybe your doctor can help you?

    good luck!!!!

  • jameson
    jameson Member Posts: 22
    edited April 2010

    Hi Cindi!,  Smoking can have such a tremendous grip on you... i know this... i started up when i was diagnosed again,,, i was soo nervous... it was the only thing calmed me down.  i found out that the surgery that would suit my life the best was the diep also.... i found out you could not smoke... so i went to my oncologist and she put me on lexapro for my anxiety and the black hole i was in.... i am just taking half of one a day... i havent needed a cigarette since,, it took away the cravings....my surgeon also said it was fine for me to be on the lexapro.... i hope this helps.... whenever a cigarette pops into your head force yourself to think about something else :)

  • MBJ
    MBJ Member Posts: 4,352
    edited April 2010

    I know a woman in my women's group who was a smoker and she had 11 surgeries and countless problems with her bimx due to smoking--it's not worth it.  Quit cold turkey, I did after 10 years of 2-3 packs a day, and replace it with excercise and carrots or whatever else satisfies your oral urge.  You are worth it to not have any problems going into major surgery.

    Best of luck to you!

  • Makratz
    Makratz Member Posts: 12,678
    edited April 2010

    Just quit.  I know it's hard, I did it too.  Do it for yourself.  In a month or so you will be so proud of yourself and you will be amazed at how much better you feel.

  • jameson
    jameson Member Posts: 22
    edited July 2010

    hi!!!  I was terrified after diagnoses.  And fell in a black hole of sorts... I was smoking because i thought " why not????  "   .....  My doctor put me on Lexapro i just took a half a pill day!!!!  And for some odd reason the lexapro took away my desire to smoke....   When cigarettes cross your mind.  Consiously think about something else.  It will pass...  Also with a genuine heart tell Jesus how much you hate smoking and he will remove them from you.  Saint Katherine of siena said you cannot have jesus in your heart and hate at the same time.

  • Shrek4
    Shrek4 Member Posts: 1,822
    edited July 2010
    I am a smoker and had LD Flap with no problems caused by my healing - the infection I had was due to blisters (from cauterization) improperly treated by my PS. I healed very fast (my PS said at 2 months my scars looked like 6 months post-op). I just couldn't stop smoking because of the stress. I prefer a cigarette to an anti-depressant - at least it's not messing up with my mind. I did, however, reduce the number of cigarettes per day and also I smoked for a week before and a month after the surgery Carlton (they have like 1/5 of the tar, carbon monoxide and other bad things regular cigarettes have), very very light (liek smoking air) and a little pricey. But hey, it worked. And yes, I am still smoking. I will have my first revision in August and will do the same thing. Now, 8 months after the initial surgery, my scars are skin-color and no scar tissue except for a very small patch where I had a humongous seroma (that my PS didn't acknowledge until it exploded on his pinstriped suit - you can find the story somehwere in the  "The dumbest things people have said to you/about you" thread.
  • StarlitMomMom
    StarlitMomMom Member Posts: 29
    edited August 2017

    worst day since my diagnosis of dcis triple neg multifocal, high grade w inflammatory markers😢Supposed to schedule my surgery tomorrow. Finally got in to the referred plastic surgeon today. Took two weeks to get in to see her. She had all of my records, left work to go to the appointment. Sat through the recon video, surrounded by all things reconstruction. Then took off clothing and put on the pink waistcoat and sat vulnerably waiting for doc.

    When she came in, she just about immediately told me i am not a candidate for recon in her practice bc i use a minimal amount of tobacco. She said i have to be nicotine free for six months WITH URINE confirmation, before she'd do the recon. My nicotine use is clear in all of my records... very slight use. Why did i lose 1 hr of work, two weeks of important time, sit humiliated in her perfect office? It was almost the most shaming experience i have had.

    Now i have no plastic surgeon( she did refer me to a 76 yr old surgeon who was stellar but he is now 76....i am not having my mastectomy without immediate reconstruction. Our insurance covers care anywhere at 100%. I dont know how to work up the energy to go to a teaching hospital or Mayo. Wow. O M G. She can establish her protocols. She had my referral and info for two precious weeks. Sadist or psychopath? It is a tossup

  • sbelizabeth
    sbelizabeth Member Posts: 2,889
    edited August 2017

    Starlit, holy cow. That's hard core. Sorry for the shaming experience--I'm not a smoker but I think I get it. My surgeon was pretty firm about no smoking but he was gentle and kind and there was no urine testing, for crying out loud. What is this, prison?

    There are other options besides Dr. Plasticperfectbiotch or Dr. Eldertotter. Call the Center for Breast Reconstruction in New Orleans--I didn't go there but I have friends who did, and they do wonderful, compassionate work. I've heard they're great about working with your insurance. Here's the website: https://www.breastcenter.com/

    If you don't want to go to New Orleans, I don't care where you live, there are other choices. Don't settle. And don't let hopelessness start its downward spiral, go carry your banner and get well.

    Oh, and go to Amazon and buy your own dignified cloth "mammography gown." I wore mine at every appointment and never had to feel like a slab of meat wrapped in butcher paper.

    Gentle hugs from California!

  • Tiffanie333
    Tiffanie333 Member Posts: 1
    edited January 2018

    I quit smoking November 10th of this year and over the holiday weekends I've been drinking which I normally don't do much but when I drink I smoke and past few weekends I've been smoking then not smoking after the weekend and my surgery is next Tuesday and this is the third day I've smoked in a roll and I'm worried because I'm not suppose to be smoking and said I had to quit 6 weeks prior to my surgery so. What should I do? Go through with surgery on Tuesday or try and quit again and reschedule? Help!

  • Rrobin0200
    Rrobin0200 Member Posts: 433
    edited January 2018

    while I agree that the breast center in Nola is supposedly incredible, proceed with caution. They do not accept all insurance. Sadly, my insurance was not one that they accepted, and it's a pretty good insurance carrier. BCBS. I had an initial consultation with them, and I swear I was having to give them a zillion dolkars. I found someone literally around the block from them. This doctor is incredible.. worth every penny that insurance paid him... and my results are phenomenal. I definitely recommend you looking around before committing to nola, and aFTER you stop smoking.

  • NotBrokenJustBent
    NotBrokenJustBent Member Posts: 394
    edited January 2018

    Tiffanie, I would be honest with your doctor and see what he advises. I had a free flap and my doctor ideally wanted 6 weeks which I got but he also said that if I was unable to quit that it was more important to remove the cancer and reconstruct, and any complications would be managed. He also said he had many patients who were unable to quit and smoked right up to 12 hours before surgery and had no issues. Talk with your doctor and see how he wants to proceed. GL.

  • Indiana46
    Indiana46 Member Posts: 2
    edited December 2018

    Hi, I'm 46 and recently diagnosed with DCIS high in my left breast, I have a long family history of breast cancer and very dense breasts, so have been advised to have a bilateral mastectomy and reconstruction with expanders, followed by another surgery in 3-6 months to replace expanders with implants.

    I have been a smoker on and off for 25 years. I have been nicotine free for 2 weeks, by the time I have my surgery it will be the 6 weeks that my PS requires.

    Has anyone had a reconstruction 6 weeks after quitting? I'm having it done privately and it is costing me an absolute fortune, I am worried that it will fail because my blood flow is so bad from smoking for so long. I could postpone the surgery but then I will have to have radiation. Can anyone offer me advice???

    xxx

  • Moderators
    Moderators Member Posts: 25,912
    edited December 2018

    Indiana46, we are sorry to hear what you are going through. These are very good questions for your doctor, and perhaps even a second opinion, as you want the most positive experience possible, and good healing. Hopefully others chime in. Please keep us posted.

    Warmly,

    The Mods

  • VegGal
    VegGal Member Posts: 507
    edited December 2018

    Look into some hyperbaric oxygen therapy after your surgeries to help with healing. It would likely benefit your lungs as well. 

    I would try to avoid radiation at all costs. Rads greatly impacts healing. 

    Good luck. 

  • MCBaker
    MCBaker Member Posts: 1,555
    edited December 2018

    I have vaped for five years. I gradually cut down on nicotine use, until I was vaping 0 nicotine juice. A few weeks before diagnosis, I switched to CBD juice. It has a calming effect, like nicotine, but without interfering with blood circulation. I don't know if this will help, because my timeline on this was years, rather than days, but it is worth a try.

  • Indiana46
    Indiana46 Member Posts: 2
    edited December 2018

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