Birmingham Chin Liposuction doctors
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Paul S. Howard, MD
Birmingham Plastic Surgeon
3401 Independence Drive, Suite 211 Suite 211, Birmingham |
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William J. Hedden, MD
Birmingham Plastic Surgeon
140 Village Street Greystone Cosmetic Center, Suite 100, Birmingham |
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Daniel E. Rousso, MD
Birmingham Facial Plastic Surgeon
2700 Highway 280 S Ste 300W, Birmingham |
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Melanie L. Appell, MD
Birmingham Dermatologist
2100 16th Ave S Suite 101, Birmingham |
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Michael S. Beckenstein, MD
Birmingham Plastic Surgeon
800 St. Vincent's Drive Suite 610, Birmingham |
Recent Answers
Is it safe to use general anesthesia during submentoplasty for someone with mild cardiac issues (mild arrhythmias and mild to moderate hypertension), but well-controlled with medication?
This patient had an EKG that was normal and has clearance to have the procedure from her PCP. She's just scared of general anesthesia. Her plastic surgeon (facial plastic surgeon/otolaryngologsit from a well-known teaching hospital) does most of his surgeries under general anesthesia, and insists that it's the best way for this patient. The main concern is the effects of the epinephrine used as the local anesthetic (high HR etc), in addition to the gases that are used under general anesthetic, that may exacerbate arrhythmias or heart issues. Can someone help us understand this better?
Actually, sounds like the surgeon prefers to do surgery with general anesthesia and they are obviously not comfortable doing some, all, or certain cosmetic procedures under local anesthesia. A surgeon's comfort-zone determines their preference of anesthesia. General anesthesia is easier on the surgeon but not necessarily the best choice for the patient. New improvements in local anesthesia make cosmetic procedures more comfortable for patients as well as surgeons. I personally perform all my facial cosmetic procedures under local anesthesia with great patient comfort.