hi sir/madam, Thanks for your question on Healthcare Magic. We are all told the detrimental effects of smoking cigarettes and how it can affect your healing. This involves diminishing oxygen to your healing tissue, the vasoconstrictive effects on vessels limiting blood supply to the wound, and the irritation of your airway resulting in coughing fits that can contribute to bleeding and hematomas. With augmentations, smoking is rarely a problem for an uneventful recovery and patients who have this surgery simply accept the greater risks of bleeding should they have significant coughing. I would have no reservations on doing breast augmentation on a pakalolo smoker. It could even help with your pain post-operatively. Hope i was helpful. Stay healthy,Stay safe.