My surgeon offers both: general anesthesia and twilight sedation with local anesthesia for submuscular breast augmentation (no lift). I am a RN and so I understand the benefits to both, but am leaning toward the latter as I would love to avoid GA if possible. Any experience with twilight with local and thoughts on it? My surgeon performs a lot of his augmentations this way but also offered GA if I was more comfortable with that. Thanks in advance!
September 29, 2020
Answer: Thoughts on twilight sedation along with local anesthesia for breast augmentation? Thank you for your question. General anesthesia vs IV sedation are both safe if administered by an anesthesiologist or a CRNA. I always used IV sedation combined with tumescent anesthesia as local in all my submuscular augmentations for the past 24 years. I am talking about deep IV sedation, twilight means light sedation by the surgeon's nurse that keeps you awake but somewhat sleepy. I would not recommend that. Intercostal nerve blocks can be done as an adjunct, mainly to control postoperative pain. I do not advocate that, there's a risk of pneumothorax as it was pointed out and we have much better pain control postop nowadays. Pain control starts with the gentle, bloodless dissection by the surgeon. The tumescent solution placed in the submuscular pocket during surgery makes the dissection bloodless and provides postop pain control for the first 6-8 hours. Early pain control leads to less use of narcotic pain medications later on.
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September 29, 2020
Answer: Thoughts on twilight sedation along with local anesthesia for breast augmentation? Thank you for your question. General anesthesia vs IV sedation are both safe if administered by an anesthesiologist or a CRNA. I always used IV sedation combined with tumescent anesthesia as local in all my submuscular augmentations for the past 24 years. I am talking about deep IV sedation, twilight means light sedation by the surgeon's nurse that keeps you awake but somewhat sleepy. I would not recommend that. Intercostal nerve blocks can be done as an adjunct, mainly to control postoperative pain. I do not advocate that, there's a risk of pneumothorax as it was pointed out and we have much better pain control postop nowadays. Pain control starts with the gentle, bloodless dissection by the surgeon. The tumescent solution placed in the submuscular pocket during surgery makes the dissection bloodless and provides postop pain control for the first 6-8 hours. Early pain control leads to less use of narcotic pain medications later on.
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September 29, 2020
Answer: Breast augmentation I have certainly performed many augmentations under sedation. I think you should find out whether the sedation will be given by an anesthesiologist or a nurse.
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September 29, 2020
Answer: Breast augmentation I have certainly performed many augmentations under sedation. I think you should find out whether the sedation will be given by an anesthesiologist or a nurse.
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