Awake tummy tuck - is there a way to get one under epidural/spinal?

Question

I am very afraid to be put to sleep but i really need a TT. Is there a way to get one under epidural/spinal? I don want the muscle repair or lipo. Just TT

Richard Baxter, MD · Answer

An epidural isn't necessarily safer than general anesthesia for a tummy tuck, but it is possible to do it that way. Keep an open mind about you options and discuss with your surgeon and anesthesia provider. You don't need a muscle repair if there isn't a diastasis, but if you do then it should be.

J. Timothy Katzen, MD, FACS · Answer

Thank you for your question and for sharing your concerns about anesthesia. It's understandable to feel apprehensive about general anesthesia, but it's important to consider the safety and effectiveness of the procedure.

General Anesthesia vs. Regional Anesthesia:

General Anesthesia: This is the standard approach for tummy tuck surgeries. It ensures complete unconsciousness, allowing the surgeon to perform the procedure without any movement or discomfort. General anesthesia is administered and monitored by a board-certified anesthesiologist, ensuring your safety throughout the surgery.

Regional Anesthesia (Epidural/Spinal): While regional anesthesia can numb the lower part of the body, it's generally not recommended for tummy tucks. The level of numbness required would need to be quite high, which can pose risks such as respiratory depression. Additionally, being awake during such an extensive procedure can be uncomfortable and anxiety-inducing. 
REALSELF

Safety and Outcomes:

Undergoing a tummy tuck with general anesthesia is considered safe when performed by experienced professionals. It allows the surgical team to operate efficiently and effectively, leading to better outcomes and a more comfortable experience for you. Choosing a plastic surgeon who works with a board-certified anesthesiologist adds an extra layer of safety and expertise.

Addressing Your Concerns:

It's natural to have concerns about anesthesia. Here are some steps you can take:

Consultation: Discuss your fears with your plastic surgeon and anesthesiologist. They can provide detailed information about the procedure, anesthesia, and safety measures in place.

Preoperative Assessment: Ensure a thorough preoperative evaluation to assess your health and address any potential risks.

Anesthesia Plan: Work with your anesthesiologist to develop a plan that prioritizes your comfort and safety.

By choosing general anesthesia administered by a qualified team, you can have confidence in the safety and success of your tummy tuck procedure.

Sincerely,

Dr. Katzen

Chet Mays, MD · Answer

Thank you for submitting your question! I would not recommend getting an abdominoplasty procedure done anyway other than under general anesthesia. An abdominoplasty is an invasive procedure removing excess skin, tightening the abdominal muscles, and liposuction of the abdomen is included as well. I would recommend consulting with a board certified plastic surgeon like myself so we can create a surgical plan that is best for you and your goals!

Daniel Barrett, MD · Answer

Dear Reliable5781,
it is hard to tell for sure without an examination. 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, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Camille Cash, MD · Answer

A tummy tuck is best performed under general anesthesia.  This is both for your safety and to give the surgeon the opportunity to maximize your results.  I encourage you to discuss your reluctance towards general anesthesia.

Awake tummy tuck - is there a way to get one under epidural/spinal?

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