How Many Cosmetic Procedures Can Be Done at One Time? What Are Things That Affect General Anesthesia?

I'm planning on undergoing a rhinoplasty, otoplasty and two mole removals (most likely via incision), is it safe to do all these under the same general anesthesia. I have a slight fear of going under general anesthesia, due to the hundreds of horror stories that I have come across. This includes patients waking up mid-way through surgery and being unable to speak but hear and feel everything that is going on. I am just wondering what kind of things need to be disclosed and affect general anesthesia i.e Anti-depressants, whether you smoke, herbal supplements?

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7 Doctor Answers | Asked by Timmy89 in Malibu

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Safe to have rhinoplasty and otoplasty done at same time

Rhinoplasty, otoplasty, and 2 mole removals are certainly acceptable procedures to be performed concurrently and will require approximately 2 hours of general anesthesia. Your anesthesia should be administered by a board certified physician anesthesiologist in a Medicare certified ambulatory surgery center. You will not wake up during the procedure with general anesthesia. With twilight anesthesia and conscious sedation, patients do have recollection of the procedure, which... more

Rhinoplasty and otoplasty together: very reasonable.

Hi Timmy89; It is not unusual to combine rhinoplasty and otoplasty. The mole removals are minor players. And, yes, it is safe to do them under general anesthesia. Today, anesthesia is safer than ever. You may not have heard this, but, remember that you are placed into a light sleep and immediately the surgeon will inject local anesthesia into your nose and ears, so that, in fact, you cannot have any pain during the procedure. This is similar to an... more

Robert Kotler, MD

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Beverly Hills Facial Plastic Surgeon

www.robertkotlermd.com

How Many Cosmetic Procedures Can Be Done at One Time? What Are Things That Affect General Anesthesia?

Having multiple plastic and cosmetic surgery procedures like a Rhinoplasty and Otoplasty together is quite common. The general health, of the patient and a reasonable time to have the patient under general anesthesia have always been the way I make this decision. Rhinoplasty and Otoplasty should be around 3 hours of surgery time, IMHO and as such should be no issue with a healthy inmdividual. The other issues are finding a surgeon that understands and follows the... more

Otoplasty, rhinoplasty and mole removal can be done safely

Otoplasty, rhinoplasty and mole removal can be done safely and effectively together under general anesthesia. General anesthesia performed in an accredited surgical facility with a well trained and licensed anesthesiologist or nurse anesthetist is safe and you should not be scared. I have worked with the same anesthesiologist in my accredited surgical facility for almost twenty years and we have no nightmare stories. At your preoperative appointment you should disclose all history of... more

Michael Elam, MD

83 reviews

Orange County Facial Plastic Surgeon

michaelelammd.com

Anesthesia and Surgery Safety

Thank-you for your question as this is something that comes up often in consultations. Many patients consider having more than one procedure done at a time to limit the time they will need help at home or limit the amount of time they take off from work. The number of procedures that can be performed together is determined by the extent of the procedures, the patient's medical and physical condition and the time spent under anesthesia. Procedures with greater areas of dissection and thus... more

Safety of General Anesthesia? Very Safe

Not surprisingly, Anesthesia is the factor that prospective patients fear most when considering cosmetic surgery. Is this fear of the unknown rational, or is it overblown? Healthy patients, without active, symptomatic cardiovascular or pulmonary problems are generally very safe under anesthesia in competent hands. The simple answer to your question is that rhinoplasty, otoplasty, and mole removal can be performed together safely and effectively. However,... more

The SAFETY of Your Cosmetic Surgery depends on your Full Disclosure

When you have any medical procedure you are entrusting your health, well-being and life to a surgeon and anesthesiologist. By witholding ANY information from your doctors, even the use of certain supplements, much less medications or previous medical conditions or operations, you are inviting a potential complication, drug interactions or even death. Risk increases with duration of the operation. But it is reasonable to combine an Otoplasty and rhinoplasty. As far as waking up... more