Why is smoking so harmful for surgery?

Written by admin

July 11, 2013

Smoking severely reduces blood supply to the skin and also delays healing. It can be responsible for skin loss, wound infection, bad scars, and other complications that may require corrective surgery. It is therefore essential to stop smoking completely for at least three weeks before surgery. Simply cutting back is not enough. Nicotine containing patches and gum are equally harmful.

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Dr. Hidalgo on Instagram

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Jul 10

We had the pleasure of helping this young lady tod

We had the pleasure of helping this young lady today! #openrhinoplasty #rhinoplastysurgeon #nosejob #nosejobs #nosejobbeforeandafter #nose #newnose #lookinggreat #naturalresults

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Jul 9

Surgery is a one-time event for the surgeon, and a

Surgery is a one-time event for the surgeon, and a life-time event for our patients. So every day is game day in our operating room: a perfect effort for every patient, every time! #openrhinoplasty #rhinoplastysurgeon #nosejob #nosejobs #nosejobbeforeandafter #nose #newnose #lookinggreat #naturalresults

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Jul 8

What I love about rhinoplasty is that it is a one

What I love about rhinoplasty is that it is a one time procedure with 50 years impact! As such, it is the greatest responsibility to get it right. #openrhinoplasty #rhinoplastysurgeon #nosejob #nosejobs #nosejobbeforeandafter #nose #newnose #lookinggreat #naturalresults #crookednose

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Jul 6

Our young rhinoplasty patients are so positive in

Our young rhinoplasty patients are so positive in spirit! Here is a creative TikTok video sent from our patient the day after surgery. #nofear #lookinggood #alwayswanted #cannotwait #nosejob #newnose #rhinoplastysurgeon

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Jul 3

In contrast to our recent post on closed rhinoplas

In contrast to our recent post on closed rhinoplasties, open rhinoplasty is better suited to achieving multiple aesthetic goals that includes reshaping the tip. There is a small scar under the nose and the tip swelling takes longer to go away. The majority of patients are best served with this technique. #openrhinoplasty #closedrhinoplasty #rhinoplastysurgeon #nose #newnose #nosejobs #nosejob #nosejobbeforeandafter #lookingreat

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Jun 29

I prefer doing individual front and side view sket

I prefer doing individual front and side view sketches for our rhinoplasty patients before surgery, instead of computer renderings. They appreciate the extra effort entailed and they are fun for me to do. Here the preop side view sketch is superimposed on the actual 6 day postoperative view. This is the same patient shown in the recent “closed” rhinoplasty post. #closedrhinoplasty #endonasalrhinoplasty #rhinoplastysurgeon #nosejob #nosejobs #nosejobbeforeandafter #nose #newnose #lookingreat

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Jun 25

This procedure is rarely done but can be the perfe

This procedure is rarely done but can be the perfect solution in the right patient. There is no muscle repair as in the standard abdominoplasty and the scope of surgery is far less. The recovery is much easier as a result.
#tummytuck #abdominoplasty #reverseabdominoplasty #nycplasticsurgeon

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Jun 23

A treat for the surgeon and patient alike! Rarely

A treat for the surgeon and patient alike! Rarely, patients have essentially a perfect nose except for a hump. The overall dimensions are excellent and most importantly the tip shape and position need no intervention. A rhinoplasty that just eliminates the hump alone can be done entirely through the nostrils. This simpler and more traditional method is called a “closed” rhinoplasty. Besides being more efficient and less invasive the big advantage is that the nasal tip swelling goes away quickly compared to a more complex “open” rhinoplasty. #closedrhinoplasty #endonasalrhinoplasty #rhinoplastysurgeon #nosejob #nosejobs #nosejobbeforeandafter #nose #newnose #lookinggreat

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Jun 20

It’s so exciting to begin practice, and at a tim

It’s so exciting to begin practice, and at a time when the specialty has more than ever to offer our patients! #plasticandreconstructivesurgery #ilovemyjob

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Jun 19

So thrilled to be recognized among such a talented

So thrilled to be recognized among such a talented group of colleagues in NYC! #newyorkmagazine #plasticsurgeonnyc #faceliftsurgery #rhinoplastyexpert #breastaugmentation

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Jun 18

This young mom experienced breast deflation from b

This young mom experienced breast deflation from breast feeding two children. This is a totally normal occurrence that does not require treatment. However, she wanted to restore breast appearance, primarily to simplify clothing issues. A “lollipop” scar pattern breast lift was used to remove loose skin, push the breasts up, and shrink the size of the areolas. The lift was combined with placement of small saline implants to fill out the top of the breasts. Although all implants need eventual replacement, saline implants can last for decades, typically much longer than silicone implants. Furthermore, in cases like this where small implants (150 cc) are used, there is no real advantage to using silicone anyway. #breastlift #breastaugmentation #breastimplants #breastfeeding #mastopexy #backtonormal #pickmeup #lookinggood #lollipop #plasticsurgeonnyc

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Jun 5

Monday we are ready to go. The office is prepared

Monday we are ready to go. The office is prepared and our protocols are in place. We may look different but it’s the same familiar faces under the masks! #rhinoplasty #facelift #breast augmentation #lookyourbest #nycplasticsurgeon #boardcertified #cannotwait #letsgo

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May 31

My co-author Dr. Andrew Weinstein and I discuss ou

My co-author Dr. Andrew Weinstein and I discuss our new breast implant paper with journal editor Dr. Rod Rohrich (below right). We developed a new treatment algorithm that is a game changer. As satisfying as it is to help our patients individually, moving the specialty forward has even greater impact! #breastimplants #breastimplantsnyc #breastaugmentation

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May 8

Constructing detailed office and operating room pr

Constructing detailed office and operating room protocols. We are ready to begin this challenging new era, with safety our highest priority. #backtoworksoon #safetyfirst #cantwait

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May 2

This new drawing, called “First Date” features

This new drawing, called “First Date” features my grandson and a friend at a car show. It measures 41” x 53” and is rendered in charcoal pencil. The silver lining in our current predicament is having quality time to do this! #robertlongo #surgeonartist #backtoworksoon #aesthetics

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Apr 7

I began this charcoal pencil drawing in July, 2018

I began this charcoal pencil drawing in July, 2018. I had no idea it would take this long! Drawing is a form of meditation that sharpens the eye and is the perfect balance for the intensity of surgery. (Expand the images to see full detail). #robertlongo #visualartist

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Apr 6

Handing off to Jackie at the Cornell ER. Donating

Handing off to Jackie at the Cornell ER. Donating our office supplies was much appreciated (and gratifying!) #masksforall #supportfrontlineworkers

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Apr 1

So used to wearing this but not outside! Contrary

So used to wearing this but not outside! Contrary to earlier recommendations wearing a mask in public spaces is helpful in preventing spread, even if not a N95. That said, it is hard to find them. The next screen shows a product still available but of a different design. The last screen is another good source but out of supply for the moment.

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Mar 28

Our first staff meeting on Zoom. It was great to

Our first staff meeting on Zoom. It was great to see everyone safely ensconced at home, cheerful and healthy. We are all eager to get back to work! #socialdistancing #flattenthecurve #goawaycorona

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Mar 26

Here is our last 6 week follow-up before closing d

Here is our last 6 week follow-up before closing down. "Tummy tucks" (abdominoplasty) have a tough recovery due to the top to bottom muscle repair (see last image). Significant advances such as long acting local anesthetic (Exparel) injected at surgery and avoiding drains (routinely required previously) have had a great impact in easing recovery. This procedure restores abdominal muscle mechanics to improve posture and alleviate associated back symptoms. Besides the obvious benefits in clothing and swim wear, patients like this are no longer embarrassed by polite inquiries about their due date. #abdominoplasty #tummytuck #flatabs #rectusdiastasis #abdominoplastyexpert

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Mar 22

Finally something positive! Longer light, nature

Finally something positive! Longer light, nature waking up, warm weather around the corner. #springiscoming #goawaycoronavirus

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Mar 20

Everyone we encountered on our walk to the beach w

Everyone we encountered on our walk to the beach was cheerful and greeted us warmly. This common challenge is bringing us closer together! #keepthefaith #betterdaysarecoming #enjoytheride

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Mar 19

We are visitors. Let’s avoid going the way of th

We are visitors. Let’s avoid going the way of the dinosaurs. #naturerules #thistooshallpass #staysafe #socialdistancing #betterdaysahead

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Mar 18

Turning out our lights to complete the picture. We

Turning out our lights to complete the picture. We will remain available for our existing patients indefinitely. Stay safe and see you soon! #flattenthecurve #plasticsurgerynyc #plasticsurgery #betterdaysarecoming #timetogetadog #fulltimehusband

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Mar 17

Even if testing were available and there are 10 ti

Even if testing were available and there are 10 times the number of cases now (almost half of China at its peak), the U.S. incidence would be 0.001. We are doing well so far and with social distancing in full force there is reason for optimism! #covid_19 #letsgetbetter #hope #worktogether #teamwork #betterdaysarecoming @drghavami

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Mar 15

This Wall Street Journal article proclaims fitness

This Wall Street Journal article proclaims fitness, proper diet and non surgical treatments are all we need to look great at 50! However these remedies can only do so much. Postpartum body changes and significant facial aging often require surgery, an inherently more powerful tool, to make an impact. Moreover, surgery is often a more economical option in the long run. BTW, do not be discouraged. I doubt the examples shown of the “new” 50 are all surgery free! #lookgood #nosurgery #postpartumbody #aging #plasticsurgery #fitnessgoals #diet #breastsugmentation #breastlift #blepharoplasty #faceliftsurgery

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Mar 13

Meet Diane, one of our two ace patient coordinator

Meet Diane, one of our two ace patient coordinators, celebrating her birthday today. She has been with us for 22 years! So knowledgeable and loved by our patients. (Second image is Diane at the beginning).

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Mar 11

Mini-Consult 3: Chin Implants #chin #chinimplant #

Mini-Consult 3: Chin Implants #chin #chinimplant #consult #facialsurgery #details #facelift #plasticsurgery #plasticsurgerynyc #lips #chinmuscle #facialsurgery

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Mar 11

Our lovely patient after a facelift and chin impla

Our lovely patient after a facelift and chin implant. Most of her aging was limited to the lower face so a less invasive SMAS tightening procedure was used. Different SMAS options allows for customized treatment guided by individual aging differences. #facelifts #smas #plasticsurgeonnyc #faceliftexpert #chinimplant

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Mar 10

Meet Ashley, our scrub tech, who we hired out of s

Meet Ashley, our scrub tech, who we hired out of school. She is amazing: always focused, unflappable, and anticipating one step ahead at all times. We spend a lot of time together and I feel blessed! #scrubtech #teammates #plasticsurgerynyc #operatingroomtech #makemylifeeasier

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Mar 8

Instagram post 18130480513011502

Instagram post 18130480513011502

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Mar 6

#breastreduction #massiveweightloss #plasticsurgeo

#breastreduction #massiveweightloss #plasticsurgeonnyc #breastimplants #breastlift #lifechanging #mastopexy #plasticsurgery #worthit

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Mar 4

#abdominoplasty #tummytuck #skinonlyabdominoplasty

#abdominoplasty #tummytuck #skinonlyabdominoplasty #plasticsurgeonnyc #abdominoplastyexpert #muscles #postpartum #rectusdiastasis #postmenopausal #agerelatedchanges

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Mar 3

Rhinoplasty is a joyous event for both the surgeon

Rhinoplasty is a joyous event for both the surgeon in the technical challenge, and for our young patients for whom it is a life changing event! #rhinoplasty #rhinoplastysurgeon #nose #beforeandafter #plasticsurgery #lifechanging #quickrecovery #happypatient #lookgoodfeelgood

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Mar 2

Our patient has breast hardening and shape distort

Our patient has breast hardening and shape distortion caused by old silicone implants. Note the excess upper breast fullness and the flattened bottom. The hardened scar tissue was removed, the breast reshaped, and a special lining material called acellular dermal matrix (ADM) placed to prevent the hardening from coming back. She opted for saline implants this time as a hedge against needing further surgery in the future. I will be giving a lecture on this very topic at the Northeastern Society of Plastic surgeons this weekend. #breast augmentation #capsularcontracture #capsulectomy #siliconeimplants #breastrevisionsurgery #nycplasticsurgeon #plasticsurgeonny

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Feb 29

Instagram post 17843674550021570

Instagram post 17843674550021570

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Feb 29

Scarless saline implant breast augmentation (armpi

Scarless saline implant breast augmentation (armpit incision) 20 years later. Stable result, no need to change implants! Silicone cannot do that but they are better for other circumstances. #breast augmentation #salinevssilicone #transaxillaryaugmentation #monitoring #nycplasticsurgeon

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Feb 27

These are my drawings in our waiting room. They ar

These are my drawings in our waiting room. They are Inspired by Robert Longo, one of my favorite artists. #artistsoninstagram #artwork #drawings #nycplasticsurgeon

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Feb 26

#breastaugmentation #siliconeimplant #salineimplan

#breastaugmentation #siliconeimplant #salineimplant #implantrupture #asaps #nycplasticsurgeon

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Feb 25

#browlift #botox #looktired #nycplasticsurgeon #as

#browlift #botox #looktired #nycplasticsurgeon #asaps

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Feb 24

Breast reduction; only 4.5 hours for a life changi

Breast reduction; only 4.5 hours for a life changing transformation! #breastreduction #beforeandafter #plasticsurgery #nycplasticsurgeon #asaps

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Feb 22

Drawing early Saturday morning with Bob Dylan. Thi

Drawing early Saturday morning with Bob Dylan. This one is almost finished! #plasticsurgery #breastaugmentation #rhinoplasty #allaboutaesthetics #allaboutseeing

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Feb 21

The results from an abdominoplasty (tummy tuck) ar

The results from an abdominoplasty (tummy tuck) are often a great trade for the long, hip-to-hip scar required. The scar itself can often be concealed afterwards, as shown here. #abdominoplasty #tummytuck #nycplasticsurgeon #ASAPS

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Feb 20

Breast surgery is different. It’s key to sit the

Breast surgery is different. It’s key to sit the patient bolt upright (asleep!) multiple times and view from the end of the table to assess volumes, shapes, and symmetry. #breastaugmentation #breastreduction #breastlift #breastliftandaugmentation #nycplasticsurgeon #aesthetics

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Feb 19

Working on a drawing is a great way to relax at ni

Working on a drawing is a great way to relax at night after a day of surgery! #nyc plastic surgeon #charcoaldrawing #robertlongo #improveyoureye

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Feb 17

Many believe our patient needs both a lift and imp

Many believe our patient needs both a lift and implants. However, implants alone can produce a great result without all the scars that a simultaneous lift entails. She is very pleased with the outcome (and so am I!). #breastaugmentation #breast lift #nycplasticsurgeon

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Feb 16

My Valentine the day after. Still and always my Sw

My Valentine the day after. Still and always my Sweetheart!

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Feb 15

Visiting with my great friend Dr. Steve Fagien. St

Visiting with my great friend Dr. Steve Fagien. Steve is an artistic blepharoplasty surgeon and probably the best injector of fillers and Botox on the planet. I always come away with a few pearls of wisdom!

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Feb 14

Our patient underwent a facelift using an #extende

Our patient underwent a facelift using an #extended-SMAS technique. This method is reserved for patients with both heavy jowls and drooping upper cheeks. Her neck contour has been improved at the same time by removing fat under the chin and tightening the neck muscles and skin. She has a wonderfully positive attitude and as the mother of a young plastic surgeon colleague I was especially honored to be entrusted with her care. #facelift #SMAS #necklift #nycplasticsurgeon #ASAPS

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Feb 13

Slipped away from the family holiday to get my pla

Slipped away from the family holiday to get my plastic surgery fix. Happy President’s Day Weekend to all!
#PRS #sunshine state #ASAPS #nycplasticsurgeon #breast augmentation #rhinoplasty

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