Breast Implants: Q&A

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Anesthesia Question?

I am getting breast implants in December. I am 130 lbs, 5ft. 5inches and I am looking at 325cc saline under the muscle. I have been under anesthesia before (tonsillectomy) and I didn't have any negative reactions (throwing up etc.) However, I remember the doctor saying he had a bit of trouble waking me up. My questions are: if I didn't get an upset stomach after my last surgery should I expect not to be sick? Also, what are the possible reasons I may have had trouble waking from anesthesia?

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5 ft 4 in to 5 ft 7 in 300-349cc saline implants under muscle 130-149 lbs anesthesia

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12 Doctor Answers | Asked by Happy11 in Tennessee

Doctor Answers (12)
Community Comments (1)

Breast Implants and Nausea

There are very good regimens that we use to prevent postoperative nausea and vomiting and a shorter surgery (like 15 minutes) will likely reduce the risks.

Anesthesia and Breast Implant Surgrery

Hi, If you're not prone to "motion sickness" and you didn't get sick after your last anesthesia, then you can be optimistic (but not guaranteed) about a pleasant recovery. Anesthesia for breast augmentation can be "general" (endotracheal intubation - tube in the windpipe- and anesthetic gases) or intravenous sedation (anesthetic drugs in the veins). In my opinion, nausea and vomiting are more likely with "general" anesthesia. Individual responses to anesthesia... more

Anesthesia

I have heard many patients tell me they were slow to wake up with previous surgery, but what that meant in their case exactly always seemed to be unclear. From the sounds of it, you should not be overly concerned that it indicated any actual problem, it's just something some people are sometimes told. Before your surgery discuss the issue with the anesthesiologist and they should be able to sort out the issue and you should have a perfectly safe procedure! more

Anesthesia during breast implant surgery

The most common fear I hear from my patients is not from the impending breast implant surgery, but from the anesthesia given during the procedure. It is the fear of the unknown, fear of losing control, fear of not waking up after the procedure and the fear of waking up during the procedure! We have all heard or read about the horror stories of anesthesia. However, the reality is, anesthesia is very safe. The medications used today are much better than even 10 years ago... more

Breast Implants Anesthesia

Anesthesia for Breast Implants is extremely safe provided that you have a qualified anesthesia provider and a certified facility. It is a good sign that you did not have trouble with nausea with a prior anesthesia.Your slow wake up may have had to do with the dosages of medicines given. Discuss the previous experience with your anesthesia provider. They will adjust the dose to allow you to wake up more promptly this time.

Anesthesia and nausea

Previous history of nausea and vomiting with anesthesia is highly predictive of future problems, as is a history of motion sickness or nausea with narcotic pain medications. If you have had a previous good experieince, it is likely that you will be fine again. Shorter procedures like breast augmentation have a lower incidence. As a young woman you are at somewhat increased risk, and antinauseant medications as well as the type of anesthesia agent can play a role in reducing the... more

Anesthesia questions

In terms of being sick to your stomach, research in this field shows that there are several risk factors, and each risk factor has about a 15-20% risk for post-op nausea. These are: 1) being female 2) being a non-smoker 3) history of motion-sickness 4) history of prior nausea / vomiting after surgery. Most anesthesiologists routinely medicate patients with drugs like Zofran in the IV, to reduce these chances of nausea / vomiting. Hopefully you will sail through... more

Anesthesia concerns with breast augmentation

In general, breast augmentation surgery is very safe. If you do not have any medical problems, general anesthesia is very safe as well. The best thing you can do is to make sure you let the anesthesia provider know your past history as well as your concerns. He/she can help tailor your drugs based on your past experiences. Good luck!

Safety in anesthesia for cosmetic surgery

There are many precautions that are taken when considering general anesthesia. Taking a thorough history of previous anesthesia is a good way to know if you may experience any problems with future anesthesia. If there is real concern it would be necessary to review your previous anesthesia records. Safety is the number one priority.

Breast Augmentation and Anesthesia Concerns?

Thank you for the question. Given your past experience, there is a very good chance that you will not have any problems with anesthesia. However, to not be bashful about communicating your specific questions/concerns with your anesthesia provider. Many of us will use prophylactic antinausea medication intravenously. I also think that the “power of the mind” is very important; if you go into surgery with a calm, positive attitude that you will do well, the chances are much... more

Anesthesia questions.

These are all great questions and there's no easy answer except that you should discuss all these concerns with the anesthesia doctor so he/she can take appropriate action. The most likely cause of a slow wake up is due to the length of time it took your body to metabolize the given dose. Some people metabolize medications faster than others. Knowing this will allow the anesthesia MD make appropriate adjustments. BA is a very safe operation so relax! Best wishes, Dr. Aldo. more

Aldo Guerra, MD

56 reviews

Scottsdale Plastic Surgeon

Anesthesia with breast augmentation

I would discuss these concerns with your anesthesia provider the day of your surgery and give them your complete history. Most likely if you did not have nausea with your first surgery than you will not with the second, however, the anesthesia provider will praphylactically treat you for nausea just to be on the safe side. As for the difficulty waking up; that could be due to many things including the techniques of the physician. I hope this helps you. Kindest... more

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Comments (1)

xtinamarie 20 May 2013

No matter how you look at it, going under takes a toll and it's very important to be prepared for days of recovery. I'm not a doc but have had four surgeries and enough experience to say they are all unpredictable how you will respond to going under. I reacted different in all situations. My most recent was four days ago and I'm still trying to shake it off but the one before this one was like I never even went to sleep. You just never know. I overly communicated as much as I knew from previous surgeries with the PS and Anastethiologist but they are he pros and take your vitals and surgery into consideration and make the educated decision for your safety. Hth

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