Can a Tummy Tuck Surgery Be Done with Local Anesthesia?
- Asked by lala08 in chicago
- 5 years ago
I am 34 years old. I am 5'6" and 140 pounds. I had two c-sections and have loose skin on my stomach. I would like to have surgery, but I don't want to be asleep.
Abdominoplasty without general anesthesia
As the others have said, abdominoplasties were traditionally done under general anesthesia.
That being said, surgeons at Northwestern University have written several articles in the journal, Plastic and Reconstructive Surgery, about performing abdominoplasties under "twilight sedation" or conscious sedation and local anesthesia. Since you're in the Chicago area and interested in the topic, I would suggest that you check there.
Hope that helps.
Anesthesia for a tummy tuck
Many people are more afraid of the anesthesia than the surgery, but if done by a qualified provider at an accredited surgical facility then it is probably safer than trying to get by under local, and certainly more comfortable. Your safety and comfort are paramount.
Tummy Tuck and Anesthesia
Tummy tuck could be done with just local anesthetic, but I'd advise against it.
Your comfort will be much greater with intravewnous sedation or general anesthesia.
If you are uncomfortable during surgery, because you chose local asnesthetic only, your surgeon may not be able to do as good a job.
Best Anesthesia for a Tummy Tuck
Before picking the tools - we need to define the job.
While I respect your reluctance "to be asleep", let's consider the job that needs to be done in you IF you are to have a chance at a good result. Two full term pregnancies have not only resulted in loose tummy skin but have certainly distended and separated your tummy muscles as well. Failure to tighten your muscles properly would rob you of the flat tummy a properly done tummy tuck can offer.
In my opinion, the tightest and flattest tummies can ONLY be done when you are under general anesthesia because they allow the surgeon to operate on relaxed muscles. While doing it on an "awake" individual (not really since you will be sedated...) will NOT physically allow this degree of movement and tightening.
I am a firm believer of putting myself in my patients' place. Were I to operate on my own wife, I would insist on doing a Tummy Tuck under general - NOT local/twilight/IV sedation anesthesia.
Dr. P. Aldea
Can a Tummy Tuck Surgery Be Done with Local Anesthesia
Abdominoplasty is best done under general anesthesia so that the details of the procedure can be accomplished without movement of the patient. I don’t think local anesthesia can adequately anesthetize a patient to relieve the pain of the procedure.
Web reference: http://www.drvitenas.com/abdominoplasty.html
Tummy Tuck Anesthesia?
Thank you for your question.
Yes, tummy tuck surgery can theoretically be performed under local anesthesia but I DO NOT recommend it.
I perform my surgeries in an out patient surgery center, and under general anesthesi only. I use Board Certified Anesthesiologists who monitor my patients from start to end so as to provide the safest environment for my patients. Abdominoplasty is an extensive procedure and I would recommend general anesthesia so that you are as comfortable as possible during the procedure.
I would suggest that you be very careful with your surgeon selection; most well trained experienced plastic surgeons would not do this procedure under local anesthesia.
I hope this helps.
Tummy tuck without general anesthesia
I know I am in the minority on this but I prefer local anesthesia with IV sedation for a full tummy tuck. I am a board certified plastic surgeon, I use only board certified anesthesiologists to administer sedation.
I spent the early part of my career doing every tummy tuck with general anesthesia. At the time, I would have believed anyone doing this procedure without a general anesthesia must be compromising on muscle or skin tightening. Having done this procedure safely and effectively with local and IV sedation for the past 5 years, I can assure you this is not the case.
We run the sedation pretty deep and I would not feel comfortable doing this procedure without it.
Watch the video for a basic demonstration
York Yates, MD. Utah.
Web reference: http://www.yorkyates.com
Yes, Local anesthesia works well for tummy tucks!
Most surgeons were not trained in how to perform a full tummy tuck under local anaesthesia. It works well in the right patient. The muscle can easily be tightened also with local anaesthesia. I have performed this without spinals, inhalational gases or heavy sedation.
Nasim Huq, MD
This is elective cosmetic surgery. The goal should be to minimize your risk of complications and deliver the safest and most natural result possible. Trying to perform a full tummy tuck under local anesthesia is simply too risky and a very unsafe procedure. I would recommend performing this procedure safely under general anesthesia, which carries a very low risk profile with an appropriate surgical workup. Please don't try to take short cuts that could jeopardize your health, safety, and your final result.
Tummy Tuck under local anesthesia
It sounds as if you would require a full tummy tuck and I generally do not advise these under local anesthesia. However, you could undergo a regional. Discuss the options with your surgeon AND anesthesiologist.
Web reference: http://www.bodysculptor.com/body-surgery-chicago/tummy-tuck/
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.