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Can I get local anesthetic during breast enhancement?

Q:

Can I get local anesthetic during breast enhancement?

A:

Yes, local anesthesia is one way of doing breast augmentation. Unless you are very stoic, however, you will also need sedation. This requires the same precautions and a certified operating room that general anesthesia requires in order to provide a safe environment. Because of this, and the extra time that local takes, the costs are about the same. I would personally prefer a quick general anesthesia, as the effects wear off very quickly. You can, of course, find someone to do the procedure more cheaply in their office that is not certified. This is, however, risking your life, hoping that nothing happens. All members of the American Society of Plastic Surgeons and  the American Society for Aesthetic Plastic Surgery are required to operate only in certified facilities for this type procedure. facilities for this type of procedure. to operate for this type of procedure only in certified facilities that are as safe as possible. 

A:

yes it is possible to do a breast augmentation under local anesthesia or local with sedation. especially if the implant is to be put under the breast tissue and above the muscle. You need to be tolerant to the injections initially, and be a good candidate for the surgery and type of anesthesia.

A:

Yes you can, but is this safer or just marketing? Matter of fact, all my breast augmentations I do with tumescent anesthesia just like for liposuction. This makes the postoperative recovery less uncomfortable and makes the surgery bloodless. I also use intravenous sedation administered by an anesthetist for the patient's comfort. Submuscular dissection can be quite uncomfortable under local anesthesia only. You will find that a lot of the non plastic surgeons advocate "awake" breast augmentation and scare the patient that the other methods are unsafe. There's nothing further from the truth in this scare approach. Local becomes unsafe if the surgeon has to inject large quantities of lidocaine just to keep the patient pain free. Also, surgeons who promote "local" anesthesia only, often use an intercostal nerve block (small potential for puncturing the lung) or supplement narcotics into the IV fluids. See a board certified plastic surgeon for a consultation to get the best results.

A:

Breast Enhancement Using Local Anesthetic – One can do breast enhancement surgery under IV sedation, but not usually under pure local as this has significant discomfort. My choice is to perform the procedure under general anesthesia with the control and safety of an anesthesiologist performing anesthesia while I perform the breast augmentation.  In Dallas, TX if I were to tell my patients that they would be awake during the entire procedure, they would simply leave my office!

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