Risks of Twilight sedation for Breast lift and augmentation?

I'm a healthy 27 year old. I've been to a consultation with a local Dr. and I'm considering a Breast lift/Breast implants. However, I want to eliminate as many risks as possible. Is twilight "safer" than general? What are the risks of twilight sedation during this procedure?

And, can you please recommend someone in Mississippi, TN, or TX who does this procedure and is a Board Certified Plastic Surgeon? I'm having a difficult time finding a qualified Surgeon who uses twilight sedation. Thank you in advance for your help!

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7 answers to “Risks of Twilight sedation for...”

A: Type of Anesthesia

Farbod Esmailian, MD

Twilight anesthesia may not be safer than general anesthesia especially if you are going to be under for a while, as you will be for a breast augmentation and breast lift. So I would be very carefull in regards to this.  As long as you are healthy and have no medical problems that you may be ok for... more

A: BAM: Do you really want your plastic surgeon to be your anesthesiologist?

Otto Joseph Placik, MD

There are many issues here: 1) Some people believe twiligtht is safer.    This is not necessarily the case. 2) Some believe it is less expensive    Only if your surgeon is the anesthesiologist and do you want him or her to worry about the heart rate, oxygenation, and blood pressure while... more

A: Go with a general anesthesia by a physician anesthesiologist

Richard P. Rand, MD

A twilight sedation for a breast augmentation is usually supplemented by nerve blocks with local anesthesia.  I am aware of a situation where these were done and punctured the lungs causing serious complications.  Under a light general by a physician anesthesiologist, these nerve injections are not... more

A: Be sure there's an anesthesiologist or nurse anesthetist giving anesthesia...

Robert Frank, MD

I'm also a proponent of general anesthesia...not because it can't be done under sedation, its just much more patient dependent and the chance of inadaquate anesthesia is higher than it would be with general. The point I wanted to add was to be sure its not THE SURGEON giving the anesthesia. Unfortunately, some... more

A: Breast Augmentation and Twilight Anesthesia

Theodore Katz, MD

Your fears are understandable, but with a light general anesthetic the risks should not be much more than a twilight anesthetic.  The general anesthetic is also cleared very rapidly after you "wake up".  Also, in certain states you cannot have twilight anesthesia as an office operating room... more

A: Twilight sedation for Breast Surgery

Sanjay K. Sharma, MD

Local Anesthesia with Sedation, or Twilight anesthesia, is  a very effective and safe way to perform Breast Enhancement procedures. In fact, 95% of my patients undergoing breast augmentation with implants choose twilight sedation and respond afterward that the experience was not that discomforting. For... more

A: Twilight is not safer than general anesthesia

John Ward, MD

This procedure can be 2-3 hour procedure and involves a great deal of cutting and stitching. I am not in favor of twilight because of the length of this procedure and the complications of administering local anesthetics. I perform this procedure using light general anesthesia. There is much less risk of... more

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