I am considering two doctors for liposuction of the flanks. Both use tumescent, but only one uses anesthesia? How does work? Does that mean that the doctor that uses anestesia uses a bigge canule?
I Dont Understand the Difference? (Narrowing in on the Doctor to Use for Liposuction)
Doctor Answers (7)
Docs who still use gen. anesthesia tend to use bigger canulas.
Most lipo docs who do the best work tend to use micro canulas and do it under local anesthesia. The smaller the canulas, then the smoother the results. Docs who still use gen. anesthesia (which we all did 28 yrs ago) tend to still use the larger canulas and tend to not get the best results because of it. It only makes sense. Trust your doc because even the gen. plastic surgeons who typically still do a little lipo on the side can do a decent job with their old methods but if you have a choice and you like both docs, then the choice is easy. Sincerely,
Narrowing on the Doctor to use for lipo
I do all but chins and small touchups under general anesthesia as I find that patients are uncomfortable without it and surgery takes much longer. The risk with general anesthesia are very small.
The use of tumescence is helpful with pain control. However, I don't believe tumescence eliminates all pain during liposuction. I believe that additional anesthesia ensures that the patient is as comfortable as possible.
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Both Doctors may do a great job. General anesthesia increases your risk of complications.
General anesthesia increases your risk of serious complications. This is the reason that I do all of my cases using only oral sedation and tumescent anesthesia.
If it were me, I'd want anesthesia and a board-certified plastic surgeon
There are many people out there who absolutely CANNOT tolerate liposuction under straight tumescent anesthesia. It is either just too difficult to get the area anesthetized or they are too anxious about the procedure. We do all types of anesthesia, but patients are by far the most comfortable with monitored anesthesia (MAC).
One reason you may see some people not offer IV sedation has to do with state regulations re. the procedure in an office setting. In some states you are required to have hospital admitting privileges and/or required to show operating privileges at a hospital for similar procedures. This is a simple and common sense rule and should be part of your interview with your surgeon. If they cannot answer YES to both of those privilege questions then you need to look elsewhere.
When looking at your surgery you need to look for 4 indicators of quality and safety
- Board certification by the American Board of Plastic Surgery
- accreditation of their office operating room by AAAASF or JAHCO
- admitting privileges at a hospital
- hospital privileges for the same surgery
Liposuction and anesthesia
I prefer to perform liposuction using an anesthesiologist to sedate my patients and make them more comfortable. I do not think that patients are as comfortable under straight local.
As for the details of the anesthesia, you need to discuss this with the doctors. It seems you had a very limited discussion regarding the surgery or you forgot.
As for the size of the cannula, most of us use 3 and 4 mm cannula. occaisionaly on the very abundant fat may start with 5 mm cannula