I’m 28 years old, and I weigh 101 pounds. I’m pretty fit and have a good diet. I’ve been wanting to get a tummy tuck for over 3 years now, but I’ve just been too scared to do so after a horrible experience with an emergency surgery I had 8 years ago. I don’t want to go under general anesthesia because of this. Is lidocaine used to numb the stomach? Is lidocaine toxicity a potential problem? I’ve had a consultation and I don’t need muscle repair. Thanks!
Answer: Tummy tuck Safety is always the number one priority in surgery. For that reason I perform tummy tucks under general anesthesia. During a consultation each patient's medical history is reviewed and questions answered not only about the surgery and recovery but also any concerns about anesthesia are addressed.
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Answer: Tummy tuck Safety is always the number one priority in surgery. For that reason I perform tummy tucks under general anesthesia. During a consultation each patient's medical history is reviewed and questions answered not only about the surgery and recovery but also any concerns about anesthesia are addressed.
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February 6, 2024
Answer: Tummy Tuck under local Thank you for your question. You appear to be relatively thin. If you do not require muscle repair, then a tummy tuck can be done under local anesthesia. I use tumescent solution, which is a very dilute solution of lidocaine. This solution is used all the time in cosmetic surgery and is very safe.
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February 6, 2024
Answer: Tummy Tuck under local Thank you for your question. You appear to be relatively thin. If you do not require muscle repair, then a tummy tuck can be done under local anesthesia. I use tumescent solution, which is a very dilute solution of lidocaine. This solution is used all the time in cosmetic surgery and is very safe.
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January 30, 2024
Answer: Tummy tuck abdominoplasty flat abdomen rectus diastasis flat tummy pubic lift Hello BBD4411, Thank you for your question about the possibility of undergoing a tummy tuck with local or IV sedation, and for providing your picture and history. Given your specific case, where you don't require rectus abdominis muscle plication and considering your weight of 101 pounds, it is feasible to consider the procedure under local or IV sedation. However, it's important to be aware of lidocaine toxicity, which is a real concern, especially for someone of your weight. There is a limit to the amount of lidocaine that can be safely administered. In light of this, I recommend opting for IV sedation. This approach is likely to be safer for you and could result in a more comfortable experience with less pain compared to relying solely on local anesthesia. Ensure that your plastic surgeon works with a qualified anesthesiologist or a Certified Registered Nurse Anesthetist (CRNA) to administer the IV sedation. Ultimately, while a tummy tuck under local or IV sedation is possible in your case, prioritizing safety and comfort is crucial. Discuss these options thoroughly with your plastic surgeon to make the best decision for your situation. I hope this information assists you in making an informed decision about your tummy tuck procedure. Wishing you a smooth and successful surgery. Sincerely, Dr. Katzen
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January 30, 2024
Answer: Tummy tuck abdominoplasty flat abdomen rectus diastasis flat tummy pubic lift Hello BBD4411, Thank you for your question about the possibility of undergoing a tummy tuck with local or IV sedation, and for providing your picture and history. Given your specific case, where you don't require rectus abdominis muscle plication and considering your weight of 101 pounds, it is feasible to consider the procedure under local or IV sedation. However, it's important to be aware of lidocaine toxicity, which is a real concern, especially for someone of your weight. There is a limit to the amount of lidocaine that can be safely administered. In light of this, I recommend opting for IV sedation. This approach is likely to be safer for you and could result in a more comfortable experience with less pain compared to relying solely on local anesthesia. Ensure that your plastic surgeon works with a qualified anesthesiologist or a Certified Registered Nurse Anesthetist (CRNA) to administer the IV sedation. Ultimately, while a tummy tuck under local or IV sedation is possible in your case, prioritizing safety and comfort is crucial. Discuss these options thoroughly with your plastic surgeon to make the best decision for your situation. I hope this information assists you in making an informed decision about your tummy tuck procedure. Wishing you a smooth and successful surgery. Sincerely, Dr. Katzen
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January 24, 2024
Answer: Tummy tuck Dear BbAD4411, some procedures such as mini tummy tuck and umbilicoplasty can be done under local anesthesia. However, full tummy tuck is a major procedure and local anesthesia is not the best choice. 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
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January 24, 2024
Answer: Tummy tuck Dear BbAD4411, some procedures such as mini tummy tuck and umbilicoplasty can be done under local anesthesia. However, full tummy tuck is a major procedure and local anesthesia is not the best choice. 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
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January 23, 2024
Answer: Tummy Tuck anesthesia Thanks for your question! There are a few variations and options for tummy tucks and certain variations are easier to perform under local anesthetic alone. IV sedation is less commonly offered as an anesthetic for traditional abdominoplasty given the amount of area (upper and lower abdomen with flanks) being treated and the need for effective and safe anesthesia to do so. Mini tummy tucks are confined to the lower abdomen and can commonly be done under local only if there is no upper abdominal skin laxity or muscle repair needed. In these cases, local anesthetics like Lidocaine and Marcaine are commonly used and weight-based guidelines are followed to avoid the risk of toxicity you mentioned. Full abdominoplasty is commonly performed under general anesthesia in order to be able to safely address the laxity and fullness of the entire abdomen, repair the muscle separation as well as perform liposuction, depending upon the technique used. General anesthesia can be exceedingly safe and measures can be taken to reduce postoperative nausea and narcotic requirements that have historically complicated it. Thanks!
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January 23, 2024
Answer: Tummy Tuck anesthesia Thanks for your question! There are a few variations and options for tummy tucks and certain variations are easier to perform under local anesthetic alone. IV sedation is less commonly offered as an anesthetic for traditional abdominoplasty given the amount of area (upper and lower abdomen with flanks) being treated and the need for effective and safe anesthesia to do so. Mini tummy tucks are confined to the lower abdomen and can commonly be done under local only if there is no upper abdominal skin laxity or muscle repair needed. In these cases, local anesthetics like Lidocaine and Marcaine are commonly used and weight-based guidelines are followed to avoid the risk of toxicity you mentioned. Full abdominoplasty is commonly performed under general anesthesia in order to be able to safely address the laxity and fullness of the entire abdomen, repair the muscle separation as well as perform liposuction, depending upon the technique used. General anesthesia can be exceedingly safe and measures can be taken to reduce postoperative nausea and narcotic requirements that have historically complicated it. Thanks!
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