The Months Prior to Surgery
You should not smoke or use any other nicotine products (including vapes) for a month prior and 2 months after surgery (and by then you should be ready to quit altogether!). Nicotine causes the blood vessels to constrict and prevents blood from nourishing and healing after your operation. Nicotine users have more wound breakdown, infections, and scarring than those who do not.
If you take estrogen products, you should stop 1 month prior to surgery. Estrogen, surgery, smoking, and obesity all independently increase chance of developing a blood clot, which if travels to your lung can be fatal. The combination of these can be deadly. On the other hand, we don’t want your blood too thin or there can be problems with bleeding. You should not take products containing aspirin or ibuprofen, ideally for 2 weeks prior to surgery.