I am interested in having a tummy tuck with NO muscle repair , I do not want general anesthesia , is it safe to have it done with local and iv sedation , or is there still a high risk I'd lidocaine toxicity , thank you !
Answer: Total IV anesthesia has many advantages and may be used for tummy tuck I always do abdominoplasties under IV sedation with local anesthesia. There are many advantages. There is no need for paralysis, intubation, gas, or mechanical ventilation. You breathe spontaneously during surgery. The abdomen is infused while you are asleep with a dilute solution that contains bupivacaine. The amount absorbed is very small and there is a wide safety margin (I've measured levels in my own patients). It provides longer pain relief than lidocaine and toxicity has not been reported when it is used in this manner. It is unnecessary to paralyze patients, and you are not even having a muscle repair. From a blood clot (DVT) perspective, IV anesthesia is better because the calf muscle pump is preserved. I frequently discuss this alternative type of anesthesia at meetings and have written articles on it. I call it SAFE anesthesia (Spontaneous breathing, Avoid gas, Face up, Extremities mobile). You can learn more by reading about it on my website. I'm attaching a link.
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Answer: Total IV anesthesia has many advantages and may be used for tummy tuck I always do abdominoplasties under IV sedation with local anesthesia. There are many advantages. There is no need for paralysis, intubation, gas, or mechanical ventilation. You breathe spontaneously during surgery. The abdomen is infused while you are asleep with a dilute solution that contains bupivacaine. The amount absorbed is very small and there is a wide safety margin (I've measured levels in my own patients). It provides longer pain relief than lidocaine and toxicity has not been reported when it is used in this manner. It is unnecessary to paralyze patients, and you are not even having a muscle repair. From a blood clot (DVT) perspective, IV anesthesia is better because the calf muscle pump is preserved. I frequently discuss this alternative type of anesthesia at meetings and have written articles on it. I call it SAFE anesthesia (Spontaneous breathing, Avoid gas, Face up, Extremities mobile). You can learn more by reading about it on my website. I'm attaching a link.
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Answer: Possible Hi, this is possible. However please make sure a well experience plastic surgeon and a board certified anesthesiologist to carry out the procedure either under local anesthesia or IV sedation, Goodluck!
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Answer: Possible Hi, this is possible. However please make sure a well experience plastic surgeon and a board certified anesthesiologist to carry out the procedure either under local anesthesia or IV sedation, Goodluck!
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October 26, 2016
Answer: Tummy tuck Hello and thank you for your question. The most important priority for me is safety in the operating room. In my practice the safest setting for surgery is general anesthesia administered by a board-certified MD anesthesiologist. If you are an appropriate candidate, a tummy tuck can be done through a low and short incision, all completely below the bikini line. The belly button can be designed to look natural and have no scars on the exterior. Make sure you specifically look at before and after pictures of real patients who have had this surgery performed by your surgeon and evaluate their results. The most important aspect is to find a surgeon you are comfortable with. I recommend that you seek consultation with a qualified board-certified plastic surgeon who can evaluate you in person. Best wishes and good luck. Richard G. Reish, M.D. Harvard-trained plastic surgeon
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October 26, 2016
Answer: Tummy tuck Hello and thank you for your question. The most important priority for me is safety in the operating room. In my practice the safest setting for surgery is general anesthesia administered by a board-certified MD anesthesiologist. If you are an appropriate candidate, a tummy tuck can be done through a low and short incision, all completely below the bikini line. The belly button can be designed to look natural and have no scars on the exterior. Make sure you specifically look at before and after pictures of real patients who have had this surgery performed by your surgeon and evaluate their results. The most important aspect is to find a surgeon you are comfortable with. I recommend that you seek consultation with a qualified board-certified plastic surgeon who can evaluate you in person. Best wishes and good luck. Richard G. Reish, M.D. Harvard-trained plastic surgeon
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October 26, 2016
Answer: Tummy tuck with local anesthesia and iv sedation? Thank you for your question. Although a variety of types of anesthesia can be utilized, I perform tummy tuck surgery under general anesthesia only (Board Certified Anesthesiologist). The abdominoplasty is an extensive procedure and I would recommend general anesthesia so that you are as comfortable/safe/immobile as possible during the procedure.Generally speaking, the tummy tuck procedure typically involves plication of the abdominal wall muscle that have spread during pregnancy or weight gain/loss. It is the very rare patient who after pregnancies and/or weight gain/loss does not benefit from some degree of abdominal wall muscle re approximation. IN MY OPINION, omitting this part of the procedure for the vast majority of patients who present for consultation will possibly or likely leave them with continued abdominal wall laxity and, in my opinion, a less than optimal result. Make your decisions carefully… Best wishes.
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October 26, 2016
Answer: Tummy tuck with local anesthesia and iv sedation? Thank you for your question. Although a variety of types of anesthesia can be utilized, I perform tummy tuck surgery under general anesthesia only (Board Certified Anesthesiologist). The abdominoplasty is an extensive procedure and I would recommend general anesthesia so that you are as comfortable/safe/immobile as possible during the procedure.Generally speaking, the tummy tuck procedure typically involves plication of the abdominal wall muscle that have spread during pregnancy or weight gain/loss. It is the very rare patient who after pregnancies and/or weight gain/loss does not benefit from some degree of abdominal wall muscle re approximation. IN MY OPINION, omitting this part of the procedure for the vast majority of patients who present for consultation will possibly or likely leave them with continued abdominal wall laxity and, in my opinion, a less than optimal result. Make your decisions carefully… Best wishes.
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August 2, 2019
Answer: Tummy tuck with local anesthesia and iv sedation? Thank you for sharing your excellent question. You can perform a tummy tuck under IV sedation and local anesthesia but your safety should be paramount and without a full series of photographs it is difficult to determine if you are a good candidate. Be sure to see an ASPS board certified plastic surgeon in consultation to discuss your treatment options.
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August 2, 2019
Answer: Tummy tuck with local anesthesia and iv sedation? Thank you for sharing your excellent question. You can perform a tummy tuck under IV sedation and local anesthesia but your safety should be paramount and without a full series of photographs it is difficult to determine if you are a good candidate. Be sure to see an ASPS board certified plastic surgeon in consultation to discuss your treatment options.
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