
Does smoking affect the outcome after undergoing double eyelid surgery?
Xiao Wang is 24 years old and has just undergone double eyelid surgery at a cosmetic hospital. She has a habit of smoking and wants to know whether smoking after double eyelid surgery will have any effects.

Smoking after double eyelid surgery can have adverse effects on recovery and the surgical outcome. Patients should strictly follow medical advice and avoid smoking during the recovery period to ensure the success of the surgery and proper wound healing. Double eyelid surgery creates a connection between the upper eyelid skin and the levator palpebrae superioris muscle, forming a natural double eyelid crease when the eyes are open. After surgery, the wound requires time to recover and heal. Nicotine in tobacco can cause vasoconstriction, reducing blood supply and impairing circulation to the surgical area, thereby delaying wound healing. Moreover, smoking increases the risk of infection, as nicotine suppresses immune system function, making it harder for the body to resist bacterial and viral invasion. Therefore, smoking after surgery is not recommended.
To promote proper wound healing and maximize surgical results, patients should keep the wound clean and dry to prevent infection. Follow medical instructions regarding timely administration of anti-inflammatory medications and perform cold compresses, warm compresses, and other care procedures as directed. Adjust your diet by consuming more protein- and vitamin-rich foods, and avoid spicy, irritating foods as well as tobacco and alcohol. Attend follow-up appointments regularly and communicate promptly with your doctor regarding your recovery progress, so that targeted guidance and recommendations can be provided.