Here’s the Medical Reason Why**

For body liposuction and fat-graft breast augmentation, smoking is one of the worst things you can do.

This is not just a recommendation—it is a strict medical warning.

Ideally, patients should:

• Stop smoking at least 1 month before surgery, and
• Continue not smoking after surgery,
• Avoid all secondhand smoke as well.

These are essential for achieving a safe surgery and beautiful long-term results.

■ Why Smoking Is Terrible for Liposuction and Fat Grafting

It causes physiological and tissue-level damage that directly harms surgical outcomes.

✔ Poor wound healing & more visible scars

Nicotine causes blood vessels to constrict, drastically reducing skin blood flow.

This results in:

• Delayed wound healing
• Darker, more noticeable scars
• Higher risk of hypertrophic scars or keloids

For cosmetic surgery, this is a critical disadvantage.

✔ Stronger fibrosis (hardness) during downtime

Areas like the arms and abdomen already tend to become firm during recovery.

Smoking prolongs inflammation, leading to:

• Persistent hardness
• Irregular texture
• Longer downtime and slower improvement

✔ Higher risk of pigmentation

Inflammation increases melanin activity, causing:

• Dark discoloration
• Persistent shadows
• Uneven skin tone

✔ Fat survival rate drops significantly

Fat cells need oxygen and stable blood flow to survive.

With smoking:

➡ Much less fat survives.

➡ Final breast volume decreases.

This is one of the biggest disadvantages.

✔ Major increase in fat necrosis (lumps)

Restricted blood flow significantly increases:

• Hard lumps
• Oil cysts
• Fat necrosis

This is especially important in fat-graft breast augmentation, where smoking is one of the strongest risk factors.

✔ Higher anesthesia risks

Smokers have more airway sensitivity and worse oxygenation:

• Difficult airway management
• More complications during anesthesia
• More coughing and bleeding after surgery

✔ Higher infection risk

Smoking weakens immune response.

In cosmetic surgery, infection risk becomes 2–4 times higher.

■ For heavy smokers:

I understand that quitting completely can be difficult.

But during the surgical period:

**Even reducing the number of cigarettes helps—

but zero is the goal.**

Your surgical result depends heavily on it.

■ At AVAN TOKYO Ginza Liposuction Clinic

We focus on:

• Maximizing surgical results
• Minimizing risks
• Creating long-lasting, beautiful body lines

To achieve this, strict smoking control is essential.

Cosmetic surgery is not just about the operation—

your postoperative habits determine over half of the final outcome.