ArticleAesthetic plastic surgery2026
The Impact of Nicotine Usage Across Body Contouring Surgery Outcomes and Opioid Usage.
Article in Aesthetic plastic surgery, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Authors and funding
9 authors.
Funding
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Abstract
backgroundNicotine use is a well-established risk factor for surgical wound complications and overall postoperative morbidity;however, its impact on elective aesthetic procedures such as body contouring surgery remains poorly characterized.
methodsUsing a large de-identifi ed electronic health record database (TriNetX), adult patients who underwent bodycontouring procedures between 2005 and 2025 were identifi ed and propensity score matched based on history ofnicotine dependence. Postoperative outcomes at 90-days were compared between patients with and withoutnicotine dependence, including wound complications, complications requiring operative intervention, seroma,venous thromboembolism, and opioid prescriptions.
resultsA total of 110,287 patients were identifi ed. After matching, each cohort had 17,065 patients. At 90-dayspostoperatively, patients with nicotine dependence demonstrated signifi cantly higher odds of wound complications,wound complications requiring operative intervention, seroma formation, and opioid prescriptions compared to non-nicotine users. No signifi cant diff erences were observed in venous thromboembolism rates between groups.
conclusionThese fi ndings suggest that nicotine dependence is associated with increased postoperative morbidity followingbody contouring procedures, particularly with respect to wound-related complications and opioid utilization. Routinepreoperative nicotine screening, patient education, and cessation interventions may play an important role inmitigating postoperative complications and improving outcomes in patients undergoing elective aesthetic bodycontouring surgery Level of Evidence III This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .
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