Did You Know Smoking Can Make Nipples Fall Off?

I cringe every time I see a patient for a breast lift who is a smoker. I’m deathly afraid that despite my warnings, she will smoke before or after surgery and cause her nipples to turn black and fall off.

Yes. Smokers who undergo breast lifts are at great risk of losing their nipples.

The nicotine in cigarettes and the carbon monoxide contained in cigarette smoke can diminish blood flow to various parts of the body. These toxins act as a virtual tourniquet. If the blood flow to a particular body part becomes greatly reduced or halted, that body part dies.

In my memoir In Stitches, I told the story of a smoker whose nipples turned purple while undergoing a breast lift surgery. Purple is the precursor to black. Black is the precursor to falling off. To save the patient—and her nipples—we turned to the only treatment available.

We went medieval.

We used leeches.

Because of the mechanics of blood flow, when the blood supply is inadequate, which occurs with smoking, the tiniest veins often fail. This insufficiency results in a backup of old (venous) blood in the body part, causing it to turn purple. If the backup of old blood is serious enough, the purple color may eventually turn black. That’s when we know the body part—toe, finger, or nipple— is dead.

We use leeches to literally suck out the excess venous blood from the body part, acting as an attachable vein. The leech drains the old blood, causing it to turn from unhealthy purple back to healthy pink. We place leeches intermittently until the body part grows new blood vessels to do the leeches’ work. This can take several days.

So, in addition to the Surgeon General’s Warning that appears on cigarette packages, I now offer the Plastic Surgeon’s Warning to all my patients who smoke: If you are having a breast lift or reduction and you smoke, your nipples could turn black and fall off. If you are having a tummy tuck and you smoke, you may get an infection resulting in a big gross open wound that will take three months to heal. If you are having a facelift and you smoke, the skin of your cheek could turn black and slough off, leaving exposed fat.

And do you really want me to reach for the jar of leeches?

Tagged with: , , , , , , ,

Posted in: Plastic Surgery News


  1. California isn’t alone in this “crisis”, it’s an “epidemic” of “pandemic” proportions among our academia, politic and media. “Helping” little old ladies to cross the street can be seen as a very noble deed; unless that is not where she wanted to go which would be seen as something entirely different. Ideological League of Nation whores pretending to be politicians, lawyers and doctors should remember the gallows of Nuremberg, least we forget….

    A Crisis of Competence: The Corrupting Effect of Political Activism in the University of California

    Elitists, crybabies and junky degrees


    We Used Terrible Science to Justify Smoking Bans


    A new lawsuit alleges that Stanton Glantz, a UC San Francisco scientist famous for taking on Big Tobacco, sexually harassed a former researcher and stole credit for her work.


    The Case Against Smoking Bans


    Comment by Rob Moffatt on December 9, 2017 at 1:32 pm

  2. The conclusions drawn from reading this article seem unavoidable. After a half century of demonizing smoking and smokers, people who smoke obviously don’t frighten easily. This foray into more of the same seems to carry another message. If smokers don’t fear the possible risks of smoking they should fear the more real dangers, of plastic surgery.

    Comment by Kevin on December 9, 2017 at 3:14 pm

  3. Fantastic article that gets your point across with impact. Great work!

    Comment by Donna Manders on December 9, 2017 at 7:32 pm

Leave a response