I'm Having Breast Enlargments Tomorrow and I'm So Scared, What Are the Chances of Me Not Waking Up?

I'm having breast enlargments tomorrow but I'm so scared, what are the chances of me not waking up from general anestetic? I'm 5 ft and about 6st 2. I have mild asthma and I'm anemic. But other than that I'm healthy. PLEASE HELP. Thankyou

Doctor Answers 7

Asthma and Surgery

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}
If your asthma is optimally controlled the risk is very small and you can undergo major surgery without significant asthma complications. Most anesthesiologists I have worked with will recommend that you take your asthma medicine the prior to surgery with a sip of water and bring your inhalers to the surgery center. In addition, steroids are given just prior to anesthesia in most patients any way which helps prevent asthmatic complications.
On the other hand, if your asthma is poorly controlled, or you are steroid-dependent, you are at increased risk and therefore it is recommended that your asthma specialist provide any needed specific medical preparation prior to surgery including a written plan to give to your surgeon and anesthesiologist regarding asthma medication recommendations pre- and post-surgery. This will include a complete pre-surgical evaluation including pulmonary function test results, physical examination, and review of your medications and past medical problems. If your pulmonary function tests are not optimal your asthma doctor and/or anesthesiologist may choose to postpone surgery until your asthma is under optimal control prior to giving surgical clearance. In addition, it is advisable that you contact that anesthesiologist beforehand to discuss any issues that might arise and their management. . This is because surgery may cause an asthma flare or related bronchospasm during or immediately after surgery. Make sure you tell the anesthesiologist and your surgeon the amount and type of steroids you take so additional steroids can be given to prevent adrenal insufficiency which can result in a sudden blood pressure drop.


Breast augmentation and scared of anesthesia

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}
Breast augmentation is an elective procedure. This affords time to make sure that you are the best candidate possible. If you have a doctor that is helping you with the anemia and asthma, talk to him/her and let them know. They may have protocols that can help. Let the plastic surgeon know. The anesthesiologist should also know, and should be able to handle most cases of asthma, (especially if well controlled). Anesthesia is very safe. Statistically, you are safer in the O.R. than driving to the O.R. that morning.

Jeffrey J. Roth, MD, FACS
Las Vegas Plastic Surgeon
4.6 out of 5 stars 17 reviews

Anesthesia safety

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

Anesthesia is extremly safe these days with the modern equipment and medications used. You must do your research however, to make sure the surgery center is an approved facility. There are several national and state organizations that certify ambulatory surgery centers. This is extremely important if surgery is being performed in an office based facility. Also make sure your anesthesiologist is a board certified in anesthesia Also ask if your surgeon is board certified by one of the national boards such as American Board of Plastic Surgeons.

Shahriar Mabourakh, MD, FACS
Sacramento Plastic Surgeon
4.9 out of 5 stars 228 reviews

Anesthetic Risks

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

Wow! Six stone and two pounds! That's 86 pounds. You are indeed tiny. The risks of dying a general anesthetic are about one in twenty thousand provided you are reasonably fit and a Board Certified (Consultant) Anesthesiologist is looking after you. I would insist on the latter.

J. Brian Boyd, MD
Rolling Hills Estates Plastic Surgeon
5.0 out of 5 stars 5 reviews

Where are you having your surgery done?

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

There is a great deal of misinformation around when it comes to anesthesia in cosmetic surgery. There are practitioners who claim they can perform procedures more safely because they do not employ general anesthesia. Often the are  working in a facility that does not offer general anesthesia as an option.

The most important question is whether the appropriate anesthesia option will be provided. Ask whether there will be proper safeguards and procedures. If you will have general anesthesia a qualified anesthesia provider should be present for the procedure to monitor you and to provide input as to the most appropriate options. 

Having this second professional does cost more but if your procedure does require more than level 1 anesthesia it is essential.

Also, ask if  the facility you are having your procedure is acreditated by one of the agencies that review surgical facilities. This is an indication that the facility has established standards and procedures that ensure patient safety. 

Talk about your concerns with your surgeon. Do not procede until you are comfortable. 


Thomas R. Walek, MD
Providence Plastic Surgeon

Risk Of Anesthesia

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

Thank you for the question. The risk of anesthesia will rise:

* As age of the patient increases

* With the presence of other mitigating health factors such as recent heart attack, recent history of strokes, etc.

* Patients undergoing an emergent operation.
In a healthy person such as yourself, comparison of the relative risk of death from anesthesia vs. the risk of death from driving a car, shows that you are roughly 1000 times more likely to die in a car accident then while under an anesthetic. 

I hope this helps. Good luck.

What Are the Chances of Me Not Waking Up

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

Unexpected death rate for anesthetic in a healthy women is somewhat under one per million cases. It is higher for men, higher for older patients, higher for patients in ill health. 

Anesthesia safety has improved dramatically over the past few decades with the use of better monitoring, and better training of providers. 

Thanks for your question, best wishes. 

Jourdan Gottlieb, MD
Seattle Plastic Surgeon

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.