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The PS I Saw Siad He Can Do Aug/lift Under Local, is This Safe Practice?

He states that PS performed under local is completley safe and adds less risk to the patient and cost, I would consider myself very tough, had all my children without epidurals or medication but am worried about the safety and recovery

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14 Doctor Answers | Asked by bvl060 in atlanta

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Breast Augmention Under Local Anesthesia?

Local anesthesia without having an an anesthesiologist to provide sedation is a very bad idea. It will not be a comfortable experience. Do not try to "cut corners" for expense reasons. This is a once-in-a lifetime operation - a real life changer. Treat is as such. Local anesthesia usually means intravenous "twilight" anesthesia with additional local anesthesia. You have to make sure that an anesthesiologist is giving the sedation, not the surgeon. He... more

Do NOT Do a Breast Augmentation and Lift Under ONLY Local Anesthesia

Plain and simple, while this may be able to be performed, I would not recommend it. First off it is important to place implants under the muscle as this has been shown to reduce capsular contraction and therefore longevity of your implants and results! It would be nearly impossible to place an implant under the muscle using only local anesthesia. Make sure your surgeon placed your implants under your muscle. Sounds like your surgeon wants to cut corners for reducing cost and I am... more

Lift / aug under local

Modern anesthesia is very safe, when administered by a board-certified anesthesiologist in an accredited facility. While it is technically possible to do a breast augmentation under local, the vast majority of my patients don't want to feel it, hear it, smell it, or be aware during the operation - even for the smaller operations when I offer them a choice of anesthesia techniques. That being said, I do this particular operation (aug/lift) with an anesthesiologist, who gives a... more

Breast lift with implants under local anesthetic may not be the best idea.

Yes, it is possible to have a breast lift with implants under local anesthetic, but that does not mean it is a good idea. The vast majority of plastic surgeons would not do this. The bigger question is why is he offering this to you? I know that some physicians who perform procedures in their office under local do so because they are not board-certified and cannot get privileges at accredited facilities to do plastic surgery. Your surgeon may be board-certified but he may not... more

Breast Augmentation and Mastopexy under local anesthesia

There is no question I would not perform these two procedures under local. I agree with my colleagues, just because it can be down, doesn't mean it should. In theory, any surgery can be done under local, I could cut off a leg under local, but why? Please make sure your surgeon is a Board Certified Plastic Surgeon and is operating out of an accredited facility.

Just because it can be done

Just because it can be done doesn't mean it should be done that way. I can do surgery on a kitchen table, but wouldn't do it that way. Real board certified plastic surgeons do surgery safely in well controlled safe environments. Although I inject local when a do a mastopey with implants, I still have an Anesthesiologist present who will either sedate, or give a mild general to the patient, for their comfort and safety. 40 years ago, prior to the development of safe office... more

Breast Augmentation/Lifting under Local Anesthesia?

Thank you for the question. No, I would not suggest that you have the breast augmentation/breast lift procedure done under local anesthesia. You will find that the majority of well experienced board certified plastic surgeons would not recommend this practice. I was suggest that you check the credentials of the surgeon who recommended this operation/type of anesthesia to you. Best wishes.

Breast Augmentation under local

The basic answer to your question is yes, a breast augmentation and lift can be performed under local anesthesia. The more important question is whether that is a good idea. If you place both the implant outside the muscle and tighten the skin at the same time, you risk having the implant erode out through your skin at a later point in time. Most plastic surgeons that will give an opinion on this site recognize this is one of the highest areas of liability in plastic... more

Augmentation mastopexy under local?

A breast augmentation and full lift under local would be very unusual in my opinion. You might check on this doctor's credentials as if they are a "cosmetic" surgeon and not a Board Certified Plastic Surgeon, they might not be able to get real anesthesai providers to work with them and will just tell you it is "safer" when is clearly isn't.

Local anesthesia for augment/lift

First, I would want to know whether your surgeon was referring to straight local (injections only) or intravenous sedation. They are not the same. I prepare to perform these procedures under general anesthesia because it is important to have the patient perfectly still. To place implants under the muscle, it is impossible to safely use sufficient local to avoid pain. Anesthetic control is part of operative safety. I hope that you are seeing a board certified plastic surgeon and having... more

The PS I Saw Siad He Can Do Aug/lift Under Local, is This Safe Practice?

Just because you can do something does not mean you should do it. When you do a painful procedure like this and you've given all the local you can and the patient still is complaining of pain you have two options 1 - stop the surgery before it is done 2-keep going and put up with the pain Which wouold you prefer. Neither is the right answer. With the current state of safe and comfortable anesthesia it makes me wonder if your doctor either does not have an adequate facility to... more

Local anesthesia for breast augmentation / lift?

I, personally, do all of these procedures under general anesthesia. I think it is a much more pleasant experience, and, because the surgeon has a comfortable patient who is lying still, it is easier to do the procedure and get the best possible result. Two other points: 1/ If the implants are placed submusculary, it is extremely difficult to be able to inject enough local (without getting into toxic dosages) to eliminate muscle pain; 2/ If there is any... more

Local anesthesia and breast augmentation and lift

While it is possible to perform a breast augmentation and lift under local, it is probably more comfortable for you to have it under sedation or general anesthesia.

Steven Wallach, MD

12 reviews

Manhattan Plastic Surgeon

Breast Augment Under Local/Sedation...

A rountine breast augmentation under local with sedation is usually very safe, but not without potential risks. Questions to consider are who is giving the sedation (nurse or MD, etc), how much local will be needed for the procedure, how tolerant is the patient to some discomfort (and there will be some discomfort) and length of the surgery. Good Luck!