Breast Augmentation - which level of iv sedation + local anesthesia is needed to be awake through the procedure?

Thank you for your question. If you wish to be "awake through the procedure", intravenous sedation will need to be titrated precisely (there is no specific "level" of anesthesia required).   This type of anesthesia is not something I would recommend or offer to you. I  recommend that you have the  procedure performed under general anesthesia supervised by a Board Certified Anesthesiologist.  I believe that this type of anesthesia provides for a comfortable/safe/immobile environment to perform the  procedure.  ***Be careful that you do not short change yourself when it comes to selection of plastic surgeon, safety considerations, and ultimately outcome of the procedure with your priorities to be available for  "intakes" soon. 

I hope this, and the attacked link, helps.

Hello and thank you for your question. I perform all of my breast augmentations under general anesthesia with a board-certified MD anesthesiologist present in the room at all times.  In my opinion, this is the safest route.  If you are set on IV sedation, ask your surgeon who is administering the anesthesia.  If it is not a board-certified MD anesthesiologist, I would be weary.  There is no substitute for safety.   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