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!
Answer: Augmentation For many years, I offered IV sedation with local anesthesia or general anesthesia to my patients, and most preferred the IV sedation. Both types of anesthesia were provided by anesthesiologists or nurse CRNA's well trained in both types. For patients who need capsules removed, especially with the old gel implants, I do prefer general anesthesia.
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Answer: Augmentation For many years, I offered IV sedation with local anesthesia or general anesthesia to my patients, and most preferred the IV sedation. Both types of anesthesia were provided by anesthesiologists or nurse CRNA's well trained in both types. For patients who need capsules removed, especially with the old gel implants, I do prefer general anesthesia.
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September 30, 2020
Answer: Anesthesia for breast augmentation Thanks for your question. Breast augmentation can be performed safely with either anesthetic. I do prefer twilight sedation which allows for a safe anesthetic with quick recovery, and lessens the risks for post op nausea and vomiting. Good luck.
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September 30, 2020
Answer: Anesthesia for breast augmentation Thanks for your question. Breast augmentation can be performed safely with either anesthetic. I do prefer twilight sedation which allows for a safe anesthetic with quick recovery, and lessens the risks for post op nausea and vomiting. Good luck.
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September 30, 2020
Answer: Thoughts on twilight sedation along with local anesthesia for breast augmentation? We do not offer twilight anesthesia at our practice. The preference is to have to patient totally asleep to make the surgical flow as smooth as possible. Many practices are well set up for twilight and works well for them. The best course of action is to discuss with your surgeon including any concerns and come up with a plan together. As always, be sure to research who performs your surgery to ensure the best likelihood of a positive result.
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September 30, 2020
Answer: Thoughts on twilight sedation along with local anesthesia for breast augmentation? We do not offer twilight anesthesia at our practice. The preference is to have to patient totally asleep to make the surgical flow as smooth as possible. Many practices are well set up for twilight and works well for them. The best course of action is to discuss with your surgeon including any concerns and come up with a plan together. As always, be sure to research who performs your surgery to ensure the best likelihood of a positive result.
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September 29, 2020
Answer: Thoughts on twilight sedation along with local anesthesia for breast augmentation? Hello, thank you for your question. There are several options for anesthesia during surgery. Both forms that you mention are good ones for the right patient. Best to discuss this with the anesthesiologist for your procedure.
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September 29, 2020
Answer: Thoughts on twilight sedation along with local anesthesia for breast augmentation? Hello, thank you for your question. There are several options for anesthesia during surgery. Both forms that you mention are good ones for the right patient. Best to discuss this with the anesthesiologist for your procedure.
Helpful
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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