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How does smoking affect reconstruction?

Smoking introduces nicotine and carbon monoxide into your body. These end-products of smoking will cause the blood vessels in your skin to constrict. This can result in poor wound healing. In the setting of a tissue expander, skin on the breast can be compromised and this could result in loss of the expander. Pedicle TRAM flaps in particular are more likely to have complications such as fat necrosis. Also, smoking increases the risks related to anesthesia. It is essential to quit smoking as soon as possible after your diagnosis in order to allow your body to recover from the effects of smoking before your surgery. For more information on this topic, click here.

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