Hi! I just found out that I am to have LMA anesthesia for my upcoming 5 hour surgery. This will include a SMAS lift, platysmaplasty, quad bleph and lateral temple lift. I am nervous about the length of the procedure although confident in this particular anesthesiologist (very good credentials). Would it be better for me to split the surgery into two pieces to shorten the length of surgery, avoid potential complications etc?
One or two procedures?
Doctor Answers (10)
Better to have endotracheal tube than LMA45 hour involved facial plastic surgery
Please discuss this in detail with your plastic surgeon.
However the procedures that you're having are often done together and can safely be done in the 4-6 hour timeframe by a very experienced in skilled plastic surgeon.
One 5-hour facial surgery or split into two operations?
Plastic surgery procedures performed in accredited surgical facilities by board-certified plastic surgeons have an excellent safety record. A survey based on more than 400,000 operations performed in accredited facilities found that:
- The rate of serious complications was less than half of 1 percent
- The mortality rate was extremely low – only one in 57,000 cases
- The overall risk of serious complications in an accredited office surgical facility is comparable with the risk in a freestanding surgical center or hospital ambulatory surgical facility
- being extremely overweight
- having recent traumatic injury
- any disorder of the heart, lungs or central nervous system
- a history of cancer, recurrent severe infection or genetic problems that affect blood clotting
- taking oral contraceptives or having recently ceased taking them
- undergoing hormone-replacement therapy
My partner and I have performed over 300 lower body lifts in our nationally-accredited (AAAASF) office surgical facility, and these procedure take 4-8 hours. All patients have done well without major complication. We have performed over 16000 office-facility operations in the 27 years I have been in private practice without death, heart attack, or stroke. But these things can and do occur, fortunately rarely. Why double your risk with two operations?
Best wishes and safe recovery! Dr. Tholen
One or two procedures?
A 5 hour procedure is not a particularly long surgery time and should be very safe under the correct circumstances. Personally, I think it's easier for the patient to undergo the procedures you mentioned in one sitting and then you only have to deal with one recovery period as well.
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In a healthy patient with monitored anesthesia, facial procedures are relatively safe because of the ability to maintain proper body temperature, limit blood loss, and avoid fluid shifts. This combined with DVT/VTE prophylaxis makes this effective combination safe in the well prepared patient.
Anesthesia time with facelift and blepharoplasty
Anesthesia Time with Facial Rejuvenation Surgery
If you are healthy and a board certified anesthesiologist will be in attendance at your procedure, doing these procedures at one time is safe. Length of surgery in the 4-6 hour range is not considered risky.
HI Marcy22. I think the combination you describe can be safely performed in one setting. Good luck!
Safety of anesthesia for facial surgery
Although there are risks with any operation a five hour procedure for facial rejuvenation is safe. Actually there would be less anesthetic risk with one five hour procedure than a couple of two and one half hour operations.
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.