Patients must adhere to a strict no smoking and no nicotine consumption for 3 weeks before and after surgery to reduce nipple graft reduction, anesthesia interference and delayed wound healing. While nicotine is the major culprit, smoking marijuana can interfere with healing and anesthetic. We suggest that patients switch to edibles or CBD and communicate openly with their surgeon to minimize risk. We also advise patients to not drink alcohol one week before and after surgery, and to never drink while taking prescription pain medication.