I had a consultation with a plastic surgeon for a neck/lower face lift. He explained that the twilight is safer but I am concerned as there is only a nurse to administer it. Would you recommend having this done without an anesthesiologist present. It is not a nurse anesthetist either.
Answer: Local with a little iv sedation is so safe and gives best results for lower face/neck lifts. Never undergo general anesthesia if you can help it. Local with a little iv sedation for complete comfort is so much safer and you can get better results since the doc can sit you up and fine tune the results which you can't undrer general. Since you are awake and comfortable, the RN or doc is always supervising you , and monitering you so don't be hesitant since you don't need the anesthesiologist at all.
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Answer: Local with a little iv sedation is so safe and gives best results for lower face/neck lifts. Never undergo general anesthesia if you can help it. Local with a little iv sedation for complete comfort is so much safer and you can get better results since the doc can sit you up and fine tune the results which you can't undrer general. Since you are awake and comfortable, the RN or doc is always supervising you , and monitering you so don't be hesitant since you don't need the anesthesiologist at all.
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July 17, 2018
Answer: Safety Thank you for your questions. I perform the majority of my face lift under sedation and local anesthesia. Safety should no be different than general anesthesia. A preoperative evaluation is imperative and the surgical facility should be accredited preferable AAASF to assure that everything is is order if any condition is present.
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July 17, 2018
Answer: Safety Thank you for your questions. I perform the majority of my face lift under sedation and local anesthesia. Safety should no be different than general anesthesia. A preoperative evaluation is imperative and the surgical facility should be accredited preferable AAASF to assure that everything is is order if any condition is present.
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July 9, 2018
Answer: Anesthesia for facelift Each surgeon must make his or her own decision as to anesthesia. I have been through all stages from using a nurse for some sedation early in my career, to using a nurse anesthetist, to my current situation where we use only physician anesthesiologists. Although we never had a problem under any system it gives both myself and the patient reassurance that there is an expert present should there be an anesthesia or serious medical problem. I am especially fortunate in that the high quality anesthesia group at Swedish hospital supports my surgical center. I have a small group of superb anesthesiologists plus the back up expertise of a group of over 100. Anesthesia is so safe these days that I see no reason not to do general on all of my facelift patients. The vast majority are done this way. We will occasionally do monitored anesthesia care (MAC) at a patient request. Some smaller "tuck-ups" are done under straight local with no IV sedation.
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July 9, 2018
Answer: Anesthesia for facelift Each surgeon must make his or her own decision as to anesthesia. I have been through all stages from using a nurse for some sedation early in my career, to using a nurse anesthetist, to my current situation where we use only physician anesthesiologists. Although we never had a problem under any system it gives both myself and the patient reassurance that there is an expert present should there be an anesthesia or serious medical problem. I am especially fortunate in that the high quality anesthesia group at Swedish hospital supports my surgical center. I have a small group of superb anesthesiologists plus the back up expertise of a group of over 100. Anesthesia is so safe these days that I see no reason not to do general on all of my facelift patients. The vast majority are done this way. We will occasionally do monitored anesthesia care (MAC) at a patient request. Some smaller "tuck-ups" are done under straight local with no IV sedation.
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July 5, 2018
Answer: Lower Face Lift and Anesthesia Different surgeons have different preferences for anesthesia. For my practice I perform face lift surgery under general anesthesia administered by a board certified anesthesiologist for patient safety and comfort. For such delicate surgery, I do not want the patient to be moving. Be sure that your surgeon is Board Certified in Plastic Surgery. Good luck.
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July 5, 2018
Answer: Lower Face Lift and Anesthesia Different surgeons have different preferences for anesthesia. For my practice I perform face lift surgery under general anesthesia administered by a board certified anesthesiologist for patient safety and comfort. For such delicate surgery, I do not want the patient to be moving. Be sure that your surgeon is Board Certified in Plastic Surgery. Good luck.
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July 4, 2018
Answer: Is twilight sedation safe? Looking into neck/lower face lift. Intravenous (IV) sedation is a reasonable option for many aesthetic procedures, including a neck and face lift . Most plastic surgeons prefer general anesthesia for breast implants placed under the muscle. With either IV sedation or general anesthesia, it is important that it be administered by an appropriate provider, either a CRNA or ideally a Board Certified Anesthesiologist. Although some surgeons administer their own anesthesia or have a nurse administer the medications, this is not optimal for safety, which should be the primary concern. With any cosmetic procedure that requires either type of anesthesia, it should be performed only in a facility licensed or accredited by one of the national accrediting organizations like the American Association for Accreditation of Ambulatory Surgery Facilities (AAAASF) and the surgery should be performed only by a fully trained plastic surgeon certified by the American Board of Plastic Surgery and ideally, a member of the American Society for Aesthetic Plastic Surgery (ASAPS). Accreditation assures that the facility has yearly inspections, appropriate equipment, adequate safety protocols, appropriately trained personnel, a full complement of resuscitation medications, and a hospital transfer agreement. You need to be also aware that many states do not require inspection or accreditation of office based surgical facilities and that not everyone who calls himself or herself a cosmetic surgeon is in fact a fully trained plastic surgeon. IV sedation is a reasonable option in the appropriate patient and in the proper setting. Robert Singer, MD FACS La Jolla, California
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July 4, 2018
Answer: Is twilight sedation safe? Looking into neck/lower face lift. Intravenous (IV) sedation is a reasonable option for many aesthetic procedures, including a neck and face lift . Most plastic surgeons prefer general anesthesia for breast implants placed under the muscle. With either IV sedation or general anesthesia, it is important that it be administered by an appropriate provider, either a CRNA or ideally a Board Certified Anesthesiologist. Although some surgeons administer their own anesthesia or have a nurse administer the medications, this is not optimal for safety, which should be the primary concern. With any cosmetic procedure that requires either type of anesthesia, it should be performed only in a facility licensed or accredited by one of the national accrediting organizations like the American Association for Accreditation of Ambulatory Surgery Facilities (AAAASF) and the surgery should be performed only by a fully trained plastic surgeon certified by the American Board of Plastic Surgery and ideally, a member of the American Society for Aesthetic Plastic Surgery (ASAPS). Accreditation assures that the facility has yearly inspections, appropriate equipment, adequate safety protocols, appropriately trained personnel, a full complement of resuscitation medications, and a hospital transfer agreement. You need to be also aware that many states do not require inspection or accreditation of office based surgical facilities and that not everyone who calls himself or herself a cosmetic surgeon is in fact a fully trained plastic surgeon. IV sedation is a reasonable option in the appropriate patient and in the proper setting. Robert Singer, MD FACS La Jolla, California
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