Tummy Tuck: Q&A

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Having Lipotuck Done, is 7 Hrs too Long with the Use of Sedation?

I am neverous about the amount of time I will be under sedation. I know sedation is more safer than a general but it still worries me

18 Doctor Answers | Asked by jmbfaith in Houston, TX
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Length of Surgery, Anesthesia and Patient Safety

I concur with my colleagues regarding their concerns. First, I am not aware of a technically defined procedure called a lipotuck. I'm assuming its a marketing term applied to a case that involves a tummy tuck (abdominoplasty) and liposuction of the waist/flanks and other areas. Depending on what procedures are exactly being done and how much excess skin/fat needs to be removed, the length of surgery for a tummy tuck and lipo of the waist can range from 2 to 4 hours for... more
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Red Flags?

Thank you for the question. Your question brings up “red flags” that are concerning in regards to the safety of the planned procedure. Most well-trained well experienced board-certified plastic surgeons will perform this type of procedure under general anesthesia ( where issues such as airway control can be managed most safely). The duration of the planned procedure also raises concerns. I would suggest that you check the credentials/certification/training... more
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How long should a tummy tuck take?

Lookng at our photos, I think you may be mistaken about the time it will take to do a tummy tuck. The average time is 2-3 hours. A total body lift may take 7 hours if huge amounts of skin are removed, but that is not your case. If you don't have overlapping skin, a traditional liposuction may be all that is necessary. If you are having a true tummy tuck, and the muscles need to be tightened, that can be quite painful. I expect that you are only having a liposuction with removal of excess... more

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+1

Sedation vs General Anesthesia for Liposuction/Tummy Tuck

Sedation is not necessarily more safe than general anesthesia, expecially if high doses of lidocaine are being used over a long period of time to complete the surgery. Whether seven hours is actual surgery time or this factors in the time used for tumescent fluid to be infused and allowed to work is immaterial. That is a very long time for any version of a tummy tuck with or without liposuction and it is unnecessarily so. You have good reason to question this amount of needed time and I... more
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7 hours of sedation

Sedation can be given comfortably for many hours, but so can general. The type of anesthesia used for any surgery is something discussed with your anesthesiologist.
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7 hours under sedation

IV sedation is not necessarily safer. I would not be at all comfortable doing such a procedure under IV sedation. I assume you saw a Board Certiied Plastic Surgeon (one certified by the American Board of Plastic Surgery Surgery). If you did not, please seek another consultation.
+1

Sedation for 7 Hours of Surgery

This depends on the type of sedation, level of sedation and who is providing it. Discuss this with your surgeon and ask if an anesthesiologist or nurse anesthetist is involved.
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Liposuction with abdominoplasty

First of all sedation is not safer than general anesthesia and if someone told you that they are not being truthful. The choice of the best/safest anesthesia for a given patient depends on the procedure, the patient, the surgeon and the anesthesia staff. In some cases it is more dangerous to do a procedure under sedation than general anesthesia. I had one patient who required liposuction years after head and neck cancer surgery and the safest anesthesia for that patient was a spinal block.... more
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7 hrs for 'lipo-tuck' under sedation - questionable

You should be nervous. A properly executed abdominoplasty requires for your muscles to be relaxed in order to plicate fascia (suturing that makes your abdomen flatter and brings your waist line in). Please make sure your PS is truly a Board Certified Plastic surgeon. The state of Florida passed a law that no cosmetic procedure should take more than 6 hrs.This was/is to ensure patient safety. Take care, Dr. H
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Having Lipotuck Done, is 7 Hrs too Long with the Use of Sedation?

I wouldn't feel comfortable doing this! it's a long procedure under General and under sedation, it may be even longer! I would re-group and think about dividing them up or changing anesthesia, which will reduce the time of the surgery as well. And I agree, sedation is not necessarily safer!
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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.

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