Is Nine Hours Under General Anesthesia Too Long?

I am considering revision rhinoplasty and a facelift. The surgeon is a board certified facial plastic surgeon with excellent reputation. I am concerned about the length of the surgery. This will be done in a hospital. I am healthy, a non-smoker, and 46 years old.

Doctor Answers (15)

Lengthy Surgery

+1

Nine hours is a long time, but we do it all the time for total makeovers. However, if you do have anesthesia for this long, certain precautions must be taken. You should be put to sleep only by a board certified anesthesiologist and you should plan to spend the night in the hospital. You should also have a clearance from your family doctor to make sure you are as healthy as you think. Additionally, you should make sure that the OR staff does everything to make sure you have no problems, such as warming you, using compressions leggings, and using gel padding and moving your pressure points frequently.

 


Highlands Plastic Surgeon
5.0 out of 5 stars 4 reviews

Facelift and rhinoplasty together can be lengthy.

+1

Thank you for your question.

 

Having a surgery that long at a hospital is good.  Yes, surgery like this can take that long.  If you are worried, you can have the surgeries done separately. You can also ask to be observed in the hospital overnight to make sure that you recover as planned without any surprises.
 

Discuss these possibilites with your surgeon.  I hope this helps.

J. Jason Wendel, MD, FACS
Nashville Plastic Surgeon
5.0 out of 5 stars 39 reviews

9 Hours too long?

+1

I personally limit my preoperative estimate to 5-6 hours. If more time is required, I break the procedures up into seperate sessions staged at a reasonable time apart. Many of the most serious complications have resulted from procedures that took more than six hours. Though length of time may vary from one surgeon to the next, I would have questions about a procedure taking much longer than average.

Howard N. Robinson, MD
Miami Plastic Surgeon
4.5 out of 5 stars 32 reviews

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Nine Hours Under General Anessthesia

+1

I am not concerned about 9 hours of general anesthesia when administered by an experienced specialist, but I don't understand why these procedures will take so long unless there are extenuating circumstances.

Richard W. Fleming, MD
Beverly Hills Facial Plastic Surgeon
5.0 out of 5 stars 15 reviews

9 hours?

+1

I would be concerned about the surgeons skills. A face lift should take 2 to 3 hours and a revision nose no more than 2. Nine hours for elective cosmetic surgery is way too long.

William B. Rosenblatt, MD
New York Plastic Surgeon
4.0 out of 5 stars 9 reviews

Surgery duration and safety

+1

This a difficult question. I agree  with most of the back and forth arguments in this forum. My only concern here is what if the surgery lasted 10 or 12 hours. Are you still going to be safe. Can he/ she guarantee the surgery will finish in 9 hours.

Moneer Jaibaji, MD
San Diego Plastic Surgeon
5.0 out of 5 stars 6 reviews

9 hours of anesthesia for nose and face lift

+1

A nose revision and full facelift takes 5possibly 6 hours normally.  It is safe to have 9 hours of anesthesia but that is way too long. 

Toby Mayer, MD
Beverly Hills Facial Plastic Surgeon
5.0 out of 5 stars 16 reviews

Is Nine Hours Under General Anesthesia Too Long?

+1

In my opinion 9 hours under general anesthesia isway too long. There are good statisitcs that show postoperative complication rates start to rise after 5 hours. It just is not worth taking ANY extra risk for cosmetic surgery. Not to mention the fatigue factor for the surgeon. And that amount of time seems very excessive for the surgery you are having done. You might want to get several consults before settling on a surgeon, that is always a good idea. And separate the nasal surgery from the facelift if you can't find someone who will be able to accomplish the surgery in a more reasonable time.

Ronald V. DeMars, MD
Portland Plastic Surgeon
5.0 out of 5 stars 13 reviews

Revision rhinoplasty and facelift

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Nine hours is a long time to be under general anesthesia for cosmetic surgery. You are young for a facelift so I would wonder what the surgeon proposes which would result in so long a procedure. Whenever the anesthesia time exceeds 5.5-6 hours, there is a documented increase in complications no matter how skilled the surgeon and anesthesiologist. I agree that, as a surgeon, you simply get tired past a certain point and it is important to recognize one's own limits and to create an operative setting with which both the patient and surgeon are comfortable.

Robert L. Kraft, MD
New York Plastic Surgeon
5.0 out of 5 stars 13 reviews

9 hours under general anesthesia is not reasonable.

+1

Few would argue that your cosmetic surgery should not be life threatening.  Generally anesthesia is associated with a finite risk of death.  What is this risk?  It depends on one's overall state of health and the relative risk of the procedure being performed.  For a facelift, the risk of dying from having a general anesthesia is approximately one in 50,000 depending on the study.  Recognize that studies the provide these estimates are very imprecise.  Surgeries that go beyond 6 hours are associated with increased risks.  How do ethical surgeons deal with this risk: we limit how much work we do at any given operative session.  Rather than having one massive surgery-the Blue Plate Special, it is far safer to have two or three smaller surgeries.  This achieves several things.  First your cosmetic surgery does not push the bounds of survivability.  Secondly how fresh do you think your surgeon will be at the start of the 8th hour of surgery?  Finally, by having staged surgery, you can ease into your new look.  Please do not be seduced by the promise of cost savings by having everything done at one time.  I do also very much agree that additional opinions are warranted.

Kenneth D. Steinsapir, MD
Los Angeles Oculoplastic Surgeon
5.0 out of 5 stars 17 reviews

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.