Hello! I'm having surgery in mexico on march 28th. I talked to my ps yesterday and he told me he will be using epidural and IV sedation for my Tummy tuck, lipo and fat transfer to buttocks. Is this a regular procedure or is it too much? Also is it ok to get an epidural? I'm kinda confused and scared now. As it is I was already nervous of getting blood clots. Why use an epidural?? Thank u in advance for taking your time and answering my questions :).
Answer: TT under regional anesthesia We use very commonly the peridural anesthetic procedure and sedation because it is very safe procedure to perform long surgeries like BBL or TT or association of both, because mainly of postoperative pain control (for general anesthesia as soon you are awaken you are in pain and will be needing very strong painkillers which is very well known in the US) and also because we can use pain pumps for several days after surgery. Sedation will help you to eliminate anxiety and keep up sleeping through surgery. Regional anesthesia is not associated to blood clots. So feel confident that the anesthetic procedure will be effective and safe. Be encouraged. Dr. Cardenas
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CONTACT NOW Answer: TT under regional anesthesia We use very commonly the peridural anesthetic procedure and sedation because it is very safe procedure to perform long surgeries like BBL or TT or association of both, because mainly of postoperative pain control (for general anesthesia as soon you are awaken you are in pain and will be needing very strong painkillers which is very well known in the US) and also because we can use pain pumps for several days after surgery. Sedation will help you to eliminate anxiety and keep up sleeping through surgery. Regional anesthesia is not associated to blood clots. So feel confident that the anesthetic procedure will be effective and safe. Be encouraged. Dr. Cardenas
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CONTACT NOW Answer: Epidural and IV Sedation for Tummy Tuck and Brazillian Butt Lift Thank you for seeking out advice on this subject. To echo the other doctors that have answered you, traveling to a foreign country for surgery is never a good idea. You have little recourse in the event that you have complications or require follow up treatment. You also have no way of knowing just how closely any facilities you are being treated in are regulated. We have all known for years not to drink the water in Mexico, so why have surgery there? To directly address your question, the epidural is not the preferred method for operative control in an abdominoplasty because it doesn't address relaxation of the muscles that are being tightened, and it can be difficult to get the pain control high enough for muscle repair in the upper abdomen. These are some of the reasons why general anesthesia by a Board Certified Anesthesiologist is the commonly used method. Make an appointment with a Board Certified Plastic Surgeon in your area to be evaluated. Saving a few dollars is not worth the risk you are taking.
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CONTACT NOW Answer: Epidural and IV Sedation for Tummy Tuck and Brazillian Butt Lift Thank you for seeking out advice on this subject. To echo the other doctors that have answered you, traveling to a foreign country for surgery is never a good idea. You have little recourse in the event that you have complications or require follow up treatment. You also have no way of knowing just how closely any facilities you are being treated in are regulated. We have all known for years not to drink the water in Mexico, so why have surgery there? To directly address your question, the epidural is not the preferred method for operative control in an abdominoplasty because it doesn't address relaxation of the muscles that are being tightened, and it can be difficult to get the pain control high enough for muscle repair in the upper abdomen. These are some of the reasons why general anesthesia by a Board Certified Anesthesiologist is the commonly used method. Make an appointment with a Board Certified Plastic Surgeon in your area to be evaluated. Saving a few dollars is not worth the risk you are taking.
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March 18, 2014
Answer: Anesthesia for Tummy Tuck I concur with the opinions of many of the other surgeons who have answered regarding having these procedures performed in Mexico. There are a number of highly skilled, Board Certified Plastic Surgeons in the Bay Area. Saving a few dollars is not worth the potential safety risks. Best of luck to you.
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CONTACT NOW March 18, 2014
Answer: Anesthesia for Tummy Tuck I concur with the opinions of many of the other surgeons who have answered regarding having these procedures performed in Mexico. There are a number of highly skilled, Board Certified Plastic Surgeons in the Bay Area. Saving a few dollars is not worth the potential safety risks. Best of luck to you.
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March 12, 2014
Answer: Hmmm...... What?! It is not recommended to get a spinal anesthetic for a tummy tuck and liposuction! Typically, body contour surgery is done with either IV sedation or general anesthetic. These are safe anesthesia treatments. The United States is one of the most regulated countries in the world in regard to standards of medical practice. Please keep that in mind.Earl Stephenson, Jr, MD, DDS, FACS
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CONTACT NOW March 12, 2014
Answer: Hmmm...... What?! It is not recommended to get a spinal anesthetic for a tummy tuck and liposuction! Typically, body contour surgery is done with either IV sedation or general anesthetic. These are safe anesthesia treatments. The United States is one of the most regulated countries in the world in regard to standards of medical practice. Please keep that in mind.Earl Stephenson, Jr, MD, DDS, FACS
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March 11, 2014
Answer: Bad Idea Hello,Aside from the fact you are traveling for cosmetic surgery, which is always a bad idea when it comes to patient safety and proper follow up care, you are mistaken that epidural and IV sedation is somehow safer than general anesthesia in any regard, including deep venous thrombosis (DVT) or pulmonary embolus (PE). Veno-thrombotic events (VTE) are fortunately rare, thanks to proper risk assessment and prophylactic measures utilized by accredited surgery centers that specialize in elective surgery. However, what's most important in minimizing risk is proper patient selection; if you're at high risk for VTE's, then you should not have any elective surgery, especially a combined abdominoplasty, liposuction and fat transfer, regardless of anesthesia technique.Beyond that, abdominoplasty is a surgery that requires muscle relaxation to allow proper muscle repair. Unless your epidural is at the thoracic level (which it won't due to potential paralysis of breathing muscles), your abdominal muscle will not be relaxed, nor will you be anesthetic in the mid and upper abdomen, where you'll definitely need it.Depending on the study, abdominoplasties have a risk of seromas (pocket of fluid under the skin) between 5 % to 25%, that requires multiple office visits to drain and heal. There are many entries on RealSelf.com of women with post operative problems looking for surgeons in the US after having plastic surgery abroad.I suggest you rethink your trip to Mexico and visit a few highly qualified surgeons certified by the ABPS who are also members of the ASAPS.Best of luck!
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CONTACT NOW March 11, 2014
Answer: Bad Idea Hello,Aside from the fact you are traveling for cosmetic surgery, which is always a bad idea when it comes to patient safety and proper follow up care, you are mistaken that epidural and IV sedation is somehow safer than general anesthesia in any regard, including deep venous thrombosis (DVT) or pulmonary embolus (PE). Veno-thrombotic events (VTE) are fortunately rare, thanks to proper risk assessment and prophylactic measures utilized by accredited surgery centers that specialize in elective surgery. However, what's most important in minimizing risk is proper patient selection; if you're at high risk for VTE's, then you should not have any elective surgery, especially a combined abdominoplasty, liposuction and fat transfer, regardless of anesthesia technique.Beyond that, abdominoplasty is a surgery that requires muscle relaxation to allow proper muscle repair. Unless your epidural is at the thoracic level (which it won't due to potential paralysis of breathing muscles), your abdominal muscle will not be relaxed, nor will you be anesthetic in the mid and upper abdomen, where you'll definitely need it.Depending on the study, abdominoplasties have a risk of seromas (pocket of fluid under the skin) between 5 % to 25%, that requires multiple office visits to drain and heal. There are many entries on RealSelf.com of women with post operative problems looking for surgeons in the US after having plastic surgery abroad.I suggest you rethink your trip to Mexico and visit a few highly qualified surgeons certified by the ABPS who are also members of the ASAPS.Best of luck!
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October 26, 2017
Answer: IV sedation and epidural Absolutely!However this requires good skills and training from the anesthesiologist.It is not only safe, but it also helps greatly with postop pain, as the anesthesiologists puts medication in the epidural, and that helps reducing pain for 2-3 days.With general anesthesia you would need to take stronger oral pain medication plus it usually makes people nauseous afterwards, which in the case of a tummytuck we want to avoid, because of the risks of ripping a suture or have a hematoma develop.
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CONTACT NOW October 26, 2017
Answer: IV sedation and epidural Absolutely!However this requires good skills and training from the anesthesiologist.It is not only safe, but it also helps greatly with postop pain, as the anesthesiologists puts medication in the epidural, and that helps reducing pain for 2-3 days.With general anesthesia you would need to take stronger oral pain medication plus it usually makes people nauseous afterwards, which in the case of a tummytuck we want to avoid, because of the risks of ripping a suture or have a hematoma develop.
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