How do doctors avoid intravascular injection of local anesthetics?

Question

Hello For breast implant removal under local using Matcain, how is an accidental intravascular injection avoided? Seems like the consequence of that could be very bad. I want my implants out and am scheduled but fear I shouldn’t have read anything on the internet.

Daniel Barrett, MD · Answer

Dear rdy2bemeagain,
in case of local anesthesia or any injections, surgeon will make aspiration in order to check if he/she is in the blood vessel. If you are considering surgery, I would suggest you consult a board-certified plastic surgeon. Only after a thorough examination, you will get more information and recommendations.
Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Connie Hiers, MD, FACS · Answer

The skin arteries are usually small and injection directly into an artery is actually difficult.  I have injected many breasts with local and all did well. Stay off the Internet please.

Camille Cash, MD · Answer

The risk for intravascular injection of local anesthesia to the breasts is low.  The reason is that the area that is anesthetized does not have large vessels that could inadvertently be injected.  Also there is not a large dose of anesthetic given in one area. I encourage you to speak with your surgeon about your concerns.

Mats Hagstrom, MD (license on probation) · Answer

The risk of intravascular injections is small and areas that don’t have big blood vessels.
Injecting, local anesthetic in the skin around the breast has no more risk than injecting, local anesthetic and other areas.
The needle is moved back-and-forth so even if it passes through a blood vessel, typically the worst that happens is the patient gets a bit of bruising from some bleeding.
 Small amount of anesthetic were injected into a blood vessel. It is unlikely to cause serious complications.
Try not to worry about things that are not described as normal complications.
For example, with implant removal things, the patient should be concerned about our issues like are you sure you’re not going to want to implants in the future? Are there capsules that may require capsulectomy? These are more Appropriate concerns that may require some thinking through. 
Talk to your surgeon if you have concerns.
Best,
Mats Hagstrom MD.

How do doctors avoid intravascular injection of local anesthetics?

Answers (4)

More Breast Implant Removal Questions

WE SEND PRETTY
EMAILS

Answers (4)

More Breast Implant Removal Questions

What is the best way to go about breast explant and muscle repair without capsulectomy?

Extracapsular rupture found in my Sientra cohesive gel implants, how bad is this rupture? (Photos)

Will my pectoral muscle always jump?

When will I be able to wear an underwire bra or be braless? 6 months after implant removal and still feeling pain

Will my nipple sensation stop hurting and return as normal?

6 months after explant and still experiencing pain - will this eventually subside?

WE SEND PRETTY EMAILS

WE SEND PRETTY
EMAILS