How Long Does It Usually Take to Wake Up from General Anesthesia if Going for a Mommy Makeover for 4 Hours?
Doctor Answers (38)
Waking From Anesthesia
Most patients will wake up within a few minutes of the completion of a Mommy Makeover. Generally as the final dressings are being placed, the anesthesiologist will lighten the anesthesia allowing the patient to gently begin to respond to verbal commands. Even though patients are awake and responding in the operating room, they may not remember this time as the medications given during the surgery will make them forgetful. Once patients are in the recovery room and less sleepy, they will be more aware of their surroundings.
Anesthesia wake-up time after mommy makeover depends on type of anesthesia.
You will often see by the other answers here that if a surgeon operates in a setting that utilizes a certain type of anesthesia more commonly than others, this will be the "recommended" type of anesthesia. Prior to 1991, our office surgical facility utilized only local aneshtesia or IV sedation, and my partners and I touted our anesthetic regimen as "safer and superior" to "going completely asleep" with a general anesthetic. Since 1991, when we started offering full anesthesia options, including monitored sedation and general anesthesia (but using total intravenous anesthesia drugs rather than inhalation anesthetic gases), we have had less postoperative nausea, vomiting, and reoperation for bleeding! So now I truthfully believe that for many patients, our total intravenous general anesthesia regimen is better for patient comfort, safety, and allows me to do my best work without having my patient endure any discomfort! Our patients routinely leave our facility in 1 to 1 1/2 hours in the recovery room, having visited the restroom, sipping a soda, and being dressed! This is the rule, rather than the exception.
If your board-certified plastic surgeon works at a hospital, an anesthesiologist (MD who practices anesthesia) may supervise the anesthesia; ask if he or she will be present for the entire operation, or if your anesthetic will be actually delivered by a CRNA. Also ask what type of anesthesia is going to be used, as most hospitals and many outpatient surgical centers use inhalation anesthetics (gas) rather than IV general anesthetic exclusively--gas is safe, but substantially cheaper. Unfortunately, gas also causes nausea and vomiting in as many as 25-30% of patients, causing longer recovery room stays, and occasionally requiring unplanned overnight admission, or at least a more uncomfortable recovery with a higher risk for bleeding.
You can see for yourself which I believe is better, but ultimately, you are best advised to ask these questions of your plastic surgeon and your anesthesia provider!
Time to wake up from anesthesia after a mommy makeover
Patients usually wake up from breast and abdominal surgery within a few minutes of the end of the case.
Modern outpatient anesthetics are very different from older techniques. Quick emergence is the rule. Pain pumps postoperatively reduce the amount of narcotics that tend to make patients sleepy and feel drugged.
Patients can help with their recovery by not drinking the night before surgery, by hydrating up until the time they need to be NPO, and by informing themselves thoroughly of what to expect after surgery.
We recommend in all mommy makeover patients to spend one or two nights in a postsurgical aftercare facility, both for their comfort and their safety.
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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.