I had a Brachioplasty (Arm Lift) done in early 2009. The surgeon and I agreed a revision would be a good idea to remove the remaining excess hanging skin. He has suggested doing this in his office with local anesthesia...I will be awake. Yikes..Is it routine to do such a procedure in an office (not a surgery center) with only a local? I think if I see him cutting my arm flesh off I'll pass out! Has anyone removed excess skin all the way along the length of both arms in an office with just a local? Thanks for your input!
Answer: Brachioplasty can be done in the office OR.
It is not unusual to perform scar revision surgery in the office operating room. In fact, many of us (including myself) do the actual brachioplasty surgery in the office operating room with relatively light sedation. I do not disagree with a general anesthesia and stil do this occasionally for patients who are not good candidates for a procedure without general anesthesia.
Understand, this is a AAAASF certified operating room and not just a minor procedure room. I have included a video for your reference.
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CONTACT NOW Answer: Brachioplasty can be done in the office OR.
It is not unusual to perform scar revision surgery in the office operating room. In fact, many of us (including myself) do the actual brachioplasty surgery in the office operating room with relatively light sedation. I do not disagree with a general anesthesia and stil do this occasionally for patients who are not good candidates for a procedure without general anesthesia.
Understand, this is a AAAASF certified operating room and not just a minor procedure room. I have included a video for your reference.
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CONTACT NOW Answer: Brachioplasty revision with local anesthesia Thank you for your question regarding arm lift or brachioplasty revision done under local anesthesia. In my practice, performing revisional brachioplasty scar surgery is very uncommon. However, performing revision brachioplasty scar under local anesthesia is not entirely unacceptable. Basically, if you can tolerate it and the doses of local anesthesia are not too high, it may be safer for you to have this revision performed under local anesthesia, rather than general anesthesia. If you decide to go ahead with local anesthesia, perhaps ask your plastic surgeon for a Valium or Xanax. In addition, if you do not want to see what is going on, a surgical drape can be easily applied. Another good option I use for my patients, is to bring your headphones and a airplane sleeping mask to cover your eyes. You can just relax and listen to your music while your plastic surgeon revises the arm lift scars. Good luck with your quest for skinnier arms. If you have any questions, please do not hesitate to contact my office. Sincerely, Dr. Katzen
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CONTACT NOW Answer: Brachioplasty revision with local anesthesia Thank you for your question regarding arm lift or brachioplasty revision done under local anesthesia. In my practice, performing revisional brachioplasty scar surgery is very uncommon. However, performing revision brachioplasty scar under local anesthesia is not entirely unacceptable. Basically, if you can tolerate it and the doses of local anesthesia are not too high, it may be safer for you to have this revision performed under local anesthesia, rather than general anesthesia. If you decide to go ahead with local anesthesia, perhaps ask your plastic surgeon for a Valium or Xanax. In addition, if you do not want to see what is going on, a surgical drape can be easily applied. Another good option I use for my patients, is to bring your headphones and a airplane sleeping mask to cover your eyes. You can just relax and listen to your music while your plastic surgeon revises the arm lift scars. Good luck with your quest for skinnier arms. If you have any questions, please do not hesitate to contact my office. Sincerely, Dr. Katzen
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January 22, 2015
Answer: The Choice of Anesthesia Depends on the Situation Brachioplasty patients may occasionally require revisional surgery. Revisional surgery may be necessary for a wide variety of reasons. In some cases, the problem may be minor, while in other cases, it may be major. The choice of anesthesia is dependent upon the nature of the deformity. In some cases, where deformities are minor, local anesthesia is acceptable. In other cases where major deformities are present, general anesthesia is probably more appropriate. The choice of anesthetic is also dependent upon the patient’s preference, surgeon’s preference and the patient’s overall health. It’s important that these issues be discussed prior to surgery so the patient can have a comfortable experience.
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CONTACT NOW January 22, 2015
Answer: The Choice of Anesthesia Depends on the Situation Brachioplasty patients may occasionally require revisional surgery. Revisional surgery may be necessary for a wide variety of reasons. In some cases, the problem may be minor, while in other cases, it may be major. The choice of anesthesia is dependent upon the nature of the deformity. In some cases, where deformities are minor, local anesthesia is acceptable. In other cases where major deformities are present, general anesthesia is probably more appropriate. The choice of anesthetic is also dependent upon the patient’s preference, surgeon’s preference and the patient’s overall health. It’s important that these issues be discussed prior to surgery so the patient can have a comfortable experience.
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September 26, 2013
Answer: Arm Lift Revision
Yes, I have. However, I counsel patients carefully prior to having them undergo any procedures under local that are more extensive because of the very concerns you’ve expressed. You may wish to rethink your decision even though it may have economic consequences. You will be a lot happier if you do this under anesthesia in a regular outpatient facility and your surgeon is perfectly capable of doing what he thinks you and he want, but it sounds like you have too many reservations to execute this procedure while you are fully awake under local anesthesia.
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CONTACT NOW September 26, 2013
Answer: Arm Lift Revision
Yes, I have. However, I counsel patients carefully prior to having them undergo any procedures under local that are more extensive because of the very concerns you’ve expressed. You may wish to rethink your decision even though it may have economic consequences. You will be a lot happier if you do this under anesthesia in a regular outpatient facility and your surgeon is perfectly capable of doing what he thinks you and he want, but it sounds like you have too many reservations to execute this procedure while you are fully awake under local anesthesia.
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November 6, 2011
Answer: Arm lift revision Many revisional surgeries can be performed in the office under local anesthesia. You can leave the office immediately after the procedure and will not have the cost and postop side effects of sedation. If you are placed properly on the OR tsbke, you will not see a thing. If you have anxiety about it, your doctor can provide oral medication, such as Xanax, to take the edge off. If you opt for anesthesia, you may have to incur additional costs so check with your plastic surgeon.
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CONTACT NOW November 6, 2011
Answer: Arm lift revision Many revisional surgeries can be performed in the office under local anesthesia. You can leave the office immediately after the procedure and will not have the cost and postop side effects of sedation. If you are placed properly on the OR tsbke, you will not see a thing. If you have anxiety about it, your doctor can provide oral medication, such as Xanax, to take the edge off. If you opt for anesthesia, you may have to incur additional costs so check with your plastic surgeon.
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October 23, 2011
Answer: Scar Revision Armlifting?
Thank you for the question.
Unfortunately, the scars that result from arm lifting surgery may be problematic; scar revision surgery is often necessary. This procedure may be done under local or general anesthesia. This decision should be made mutually by patient and surgeon after discussion of the pros/cons of each type of anesthesia.
I hope this helps.
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Answer: Scar Revision Armlifting?
Thank you for the question.
Unfortunately, the scars that result from arm lifting surgery may be problematic; scar revision surgery is often necessary. This procedure may be done under local or general anesthesia. This decision should be made mutually by patient and surgeon after discussion of the pros/cons of each type of anesthesia.
I hope this helps.
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