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Smoking and Rhinoplasty: What’s the Big Deal?

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

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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Facial Plastic Surgery

Dr. Philip Miller and his team of New York's top rated facial plastic surgery experts provide custom cosmetic treatment plans that include a combination of minimally-invasive techniques and advanced procedures, to help each patient achieve the Aesthetic Confidence® they desire. Our unique NatraFace™ approach to facial rejuvenation includes the following effective procedures:

Eyelid Plastic Surgery

Dr. Miller provides patients with Manhattan's #1 customized care and treatment for smooth, supple skin that brightens the eyes and revitalizes the face. With our NatraFace™ approach, we utilize a combination of effective aesthetic techniques tailored to suit each patient’s needs. We offer:

Rhinoplasty (Nose Jobs)

Dr. Miller and his staff of NYC's best aesthetic specialists offer the NatraNose® process, which is a comprehensive range of minimally-invasive and advanced techniques to achieve natural-looking rhinoplasty results, improve nasal function, and meet the patient’s aesthetic goals. Dr. Miller specializes in nose jobs, nose reductions, non-surgical nose jobs, and more: Adjust the links in these sections as follows:

Skin Care Treatments

Widely acclaimed for our broad range of flawless skincare solutions, Philip J. Miller, MD, FACS and his team of aesthetic specialists offer customized skincare treatment plans to achieve healthy, natural-looking results. As part of our NatraLook™ process, the following procedures may be performed individually or in combination with more advanced surgical treatments for optimal rejuvenation.

Male Plastic Surgery

Philip J. Miller, MD, FACS, is a double board-certified facial plastic surgeon with over 20 years of experience working with male and female patients. He specializes in facial plastic surgery and is recognized as an expert in facial rejuvenation procedures. Utilizing the most advanced surgical techniques, Dr. Miller can maintain or enhance masculine features while producing the most natural-looking results.

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The Plastic Surgery Podcast with Dr. Philip Miller

Tune into The Plastic Surgery Podcast, hosted by facial plastic surgeon Dr. Philip Miller. Dr. Miller is here to answer your questions, de-mystify plastic surgery, and help you feel more knowledgeable and empowered about any procedure performed at our center.

The Plastic Surgery Podcast

  • Episode 44: My First Time

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  • Episode 43: Top 10 Reasons Not To Get A Rhinoplasty ( Plastic Surgery)

    20 min
  • Episode 42: Osteomas & Lipomas

    11 min
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Plastic Surgery w/ Dr. Miller

If you're thinking about getting a lift, nip, or tuck, this app is for you. It's the most comprehensive pocket encyclopedia of plastic surgery terms, before and after photos, and visualization tools to help you really know what to expect from a procedure, including seeing potential results on your own photo. This app is only available on the App Store for iOS devices.

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