Can a back lift and bra strap be done under local anesthesia?

Thank you for your question! A back lift is a large procedure (similar to a tummy tuck), and it is commonly performed along with liposuction of the back. To make a long story short, it is not recommended to perform this procedure under local anesthesia due to safety concerns. In order to perform these procedures, patients need a certain amount of lidocaine to be administered. For awake patients, more lidocaine is needed since the patient is awake and we want to keep them comfortable. All patients have a maximum dose of lidocaine based on their weight that cannot be exceeded for safety reasons. For these procedures, a patient would most likely need more than this maximum dose to stay comfortable. If a patient is in too much pain, the procedure will have to be aborted. It is safest (and most comfortable for the surgeon and patient) to perform large procedures like these under general anesthesia. Please be sure to consult with a board-certified plastic surgeon to discuss your options.

A back lift and bra strap lift can be done under local anesthesia, but I do not recommend it. The back lift and bra lift require lots of pulling, tugging, and dissecting. Your body can only handle so much local anesthesia before it reaches levels of toxicity. Under general anesthesia, the surgeon can give optimal results and not worry about hurting you or poisoning you with too much local anesthetic. I perform all of my back and bra strap lifts under general anesthesia. Please let me know if you have any questions.
Sincerely, Dr. Katzen. (“Verified” Plastic Surgeon, President of the American Society of Bariatric Plastic Surgeons, certified by the American Board of Plastic Surgery, Fellow of the International Society of Aesthetic Plastic Surgery, American College of Surgery, and International College of Surgery, and member of the American Society of Plastic Surgery, American Academy of Cosmetic Surgery and RealSelf Hall of Fame.)

I do many upper body/back lifts in my practice and i would not recommend doing this procedure under local anesthesia. I would recommend finding a board certified plastic surgeon to discuss your options.

Thanks for your question. I don’t believe you could perform this procedure with possibly exposing the patient to a dangerously high dose of lidocaine. I suggest you see a certified plastic surgeon for this operation! Good luck. Dr. Aldo

The procedures that interest you are best done under general anesthesia. This is for you comfort, safety, and to give your surgeon the opportunity to maximize your results. If you have concerns about general anesthesia I encourage you to discuss them with your surgeon.

Hello! Thank you for your question. An upper back lift is not a small or quick procedure that lends itself to being done under local anesthesia. For this reason, most plastic surgeons do this procedure under general anesthesia. Keep in mind that if you decide to pursue surgery it’s very important that you find a surgeon whom you are comfortable with and trust and who evaluates you in-person and tailors an individualized treatment plan for you and your aesthetic goals. Best of luck!
Matthew A. DelMauro, M.D.

Thank you for your question.  Usually not done under local these areas. Please consult with a board certified PS for evaluation and to discuss your goals.

Hi there and thanks for posting.That would require a dangerous amount of local anaesthetic which would be made worse with any sedation to help you through the procedure.So it would be uncomfortable and dangerous.This is a procedure best done in hospital, under a general anaesthetic with a qualified anaesthetist.All surgery does have risks. It is critical to minimise these risks at all times. There can be no compromise on safety.RegardsRichard

Thank you for your question.It can be done it is possible, but obviously it is not the safer or the best way to do this. I personally don't do this under local anesthesia. Good luck