Breast Augmentation: Q&A

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Twilight Sedation or General Sedation Safer for Breast Augmentation?

I have only met with one of the three surgeons but the first one performs the surgery under twilight sedation. I know I wouldn't feel anything and feel a but better not being under full, but is it safe to get a BA that way?

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anesthesia safety second opinion twilight sedation

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8 Doctor Answers | Asked by chotchkie

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Twilight or general anesthesia for breast implant augmentation surgery

In most cases, I prefer to use general anesthesia. I have done the procedure under local with IV sedation but the patients tend to experience more discomfort during the procedure. This is especially true if larger implants are placed under the muscle

Twilight anesthesia is a safe alternative for breast augmentation

After over 20 years in practice and hundreds of augmentation procedures I can assure you that twilight sleep is an extremely safe choice for breast augmentation. If performed well in an accredited office facility the procedure should be pleasant and comfortable with little or any recollection of being 'in the room'. Office accreditation is an important commitment to safety so you should ask about it and be sure the facility and surgeon you select maintains high standards... more

Twilight Extremely Safe

With regards to anesthesia for a breast augmentation, either general or twilight/IV sedation will do the job. Both are safe, but I prefer twilight/IV sedation for all my patients. Some surgeons do not believe that you can go submuscular with twilight or sedation, which is why they use general anesthesia. That is not the case at all - 90% of my patients are dual-plane ( partial submuscular), and have no problem with twilight anesthesia. The recovery is alot... more

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Anesthesia for breast augmentation

Both general and twilight sedation with local anesthesia are quite safe when performed in conjunction with a certified anesthesia provider in a certified facility. Many people doing breast augmentation, however, do not have privileges in a hospital to do that procedure and can not get a certified provider to work with them in a non-certified office facility. They will, therefore use twilight sedation with local anesthesia with one of their office personnel caring for you. This is... more

Twilight sedation for breast augmenation

Both anesthetic techniques have their pros and cons- first and foremost- make sure you have a certified anesthesia provider caring for you. I do a lot of my breast procedures under twilight anesthesia (IV sedation, MAC etc) and local anesthetic. Rib blocks in this setting are very helpful, and I believe are safe to do. The advantage of using an IV sedation technique is that the post-operative nausea issues are truly diminished. Patients wake up quickly after surgery and are less... more

Board certified anesthesiologist necessary for safe breast augmentation.

Hi. Doing breast implants in New York City, we use light general anesthesia. Sedation is OK too, if a board certified anesthesiologist is doing it in an accredited operating room.

Sedation or General Anesthesia for Augmentation

I have performed breast augmentations for over 20 years using both local anesthesia with sedation and general anesthesia. I feel either method is equally safe. The trick is to have a very good anesthetist when using local/sedation which I think is a much more difficult technique than general anesthesia. I would avoid a situation where the surgeon also delivers the anesthetic.

General anesthesia is safer for a breast augmentation

In order to numb your chest enough for a BA under twilight anesthesia, the surgeon typically performs nerve blocks by injecting local anesthesia between the ribs. I know of a case in my region where this was done and the patient suffered two punctured lungs and arrested on the OR table. Therefore, I would strongly suggest that you have a light general anesthetic by a physician anesthesiologist and have a safe and easy experience.

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