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Cited by 72Smoking Behavior and CessationBody Contouring and SurgeryFacial Rejuvenation and Surgery Techniques

Current evidence on the role of smoking in plastic surgery elective procedures: A systematic review and meta-analysis

Theocharidis, Vasileios, Katsaros, Ioannis, Sgouromallis, Emmanouil, Serifis, Nikolaos, Boikou, Vasileios, Tasigiorgos, Sotirios, Kokosis, George, Economopoulos, Konstantinos P.·2018·Journal of Plastic, Reconstructive & Aesthetic Surgery
DOI 10.1016/j.bjps.2018.01.011
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Abstract

Background Smoking is considered to be a significant risk factor for the development of postoperative complications after various surgical procedures, mainly by limiting oxygen delivery to tissues. Evidence on the collective impact of smoking in aesthetic procedure outcomes is scarce. The aim of this study is to evaluate the current evidence on the association between smoking and postoperative outcomes in patients who underwent common elective procedures in plastic surgery.Methods PubMed and Cochrane bibliographical databases were searched from January 1950 to October 2016 for studies reporting on patients who underwent facelift, abdominoplasty, breast reduction and breast reconstruction and for studies with included data on smoking history of treated patients.Results Fifty-three studies reporting on postoperative complications in tobacco users undergoing facelift, abdominoplasty, breast reduction and reconstruction were identified. Tobacco use is found to significantly increase the total number of postoperative complications as far as abdominoplasty (OR: 5.43; 95% CI = 2.92-10.10), breast reduction (OR: 2.36; 95% CI = 1.64-3.39) and breast reconstruction (OR: 1.91; 95% CI = 1.69-2.17) are concerned. Smoking history does not significantly affect total postoperative complications after facelift procedures (OR: 3.36; 95% CI = 0.92-12.30).Conclusions Smoking predisposes to surgical site infections, delayed wound healing and skin necrosis in patients undergoing the most common aesthetic procedures in plastic surgery. More rigorous and detailed reporting on the history of tobacco use and surgical outcomes following plastic surgery procedures is needed to better quantify the impact of smoking on the overall postoperative care for this patient population.

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  • After cosmetic surgery, smoking can cause complications such as postoperative infections, delayed wound healing, and skin necrosis.

    “Further, after cosmetic surgery, smoking can cause complications such as postoperative infections, delayed wound healing, and skin necrosis [80].”

    From Diet and Skin Aging—From the Perspective of Food Nutrition (2020) · cites this paper as [80]

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Authors
Theocharidis, V., Katsaros, I., Sgouromallis, E., Serifis, N., Boikou, V., Tasigiorgos, S., Kokosis, G., & Economopoulos, K. P.
Affiliations
  • Athens University of Economics and Business (GR)
  • Brigham and Women's Hospital (US)
  • Johns Hopkins University (US)
  • Duke University (US)
Corresponding author
Economopoulos, Konstantinos P.
ORCID
Venue
Journal of Plastic, Reconstructive & Aesthetic Surgery
Publisher
Elsevier BV
Published
2018-05
Volume
71
Issue
5
Pages
624-636
ISSN
1748-6815 (ISSN-L)
DOI
10.1016/j.bjps.2018.01.011
OpenAlex
W2786779764
Cited by
72
References
49
Citations by year
2026: 8 · 2025: 10 · 2024: 8 · 2023: 10 · 2022: 12 · 2021: 12 · 2020: 7 · 2019: 2 · 2018: 3
FWCI
0.79
Type
journal article
Language
en
Open access
closed
Licence
www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations
  • Journal of Plastic Reconstructive & Aesthetic Surgery (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Physiology › Smoking Behavior and Cessation
  • Health Sciences › Medicine › Surgery › Body Contouring and Surgery
  • Health Sciences › Medicine › Dermatology › Facial Rejuvenation and Surgery Techniques
Keywords
smoking, tobacco use, plastic surgery, cosmetic surgery, postoperative complications, facelift, abdominoplasty, breast reduction, breast reconstruction, surgical site infection, delayed wound healing, skin necrosis
MeSH terms
Humans, Postoperative Complications, Risk Factors, Smoking, Surgery, Plastic, Mammaplasty, Elective Surgical Procedures, Abdominoplasty

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