Twilight or IV sedation ? Do I need an anesthesiologist for IV sedation ? I am 49 yo . And I am very sensitive person . Can I move during this procedure ? Can I speak ? May be I ll be in panic ??? Some pain ??? May be I ll cry ??? 4 hours - it s too long . What's happen with my mind ??? Could I control my emotions ? If I could move - I could do something against my doctor ? May be I need general ?
July 9, 2018
Answer: Anesthesia for facelifts: General vs Local with Sedation Both general anesthesia and local anesthesia with IV sedation provided facelift patient with good pain control and sedation. Most of my facelift cases are performed under local anesthesia with IV sedation. Patients note that they wake up easier than when they are under general anesthesia. I have the anesthesiologist use general anesthesia if we are concerned about breathing issues or if the patient specifically requests general.
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July 9, 2018
Answer: Anesthesia for facelifts: General vs Local with Sedation Both general anesthesia and local anesthesia with IV sedation provided facelift patient with good pain control and sedation. Most of my facelift cases are performed under local anesthesia with IV sedation. Patients note that they wake up easier than when they are under general anesthesia. I have the anesthesiologist use general anesthesia if we are concerned about breathing issues or if the patient specifically requests general.
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November 17, 2019
Answer: Anesthesia for deep plane facelift I perform the majority of my deep plane facelifts under general anesthesia with a board certified anesthesiologist. The surgery is about 4-5 hours long. You are completely asleep for the procedure. Patients wake up in the recovery room like they just had a long nap. Patients tend to remain sleepy when they get home since it takes about a day for the medications to leave the system. They are very comfortable. The disadvantage is that this does require a breathing tube and patients can have a sore throat after the procedure. Also, there is a risk of nausea/upset stomach. A step down from this is monitored anesthesia care and heavy IV sedation which allows the patient to be completely asleep but breathing on his/her own. IV sedation is on a spectrum and, if done lightly, the patient is lightly sleeping and breathing on his/her own but could wake up if asked a question or needed to shift positions. Combining IV anesthesia with local anesthesia (lidocaine) can make patients very comfortable for the duration of the procedure. Many surgeons perform procedures with MAC/IV sedation with excellent experiences and results. If you are nervous about the anesthesia or what it will be like, I would ask more questions to the surgeon. You may even be able to speak to a previous patient about his/her experience with the anesthesia.
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November 17, 2019
Answer: Anesthesia for deep plane facelift I perform the majority of my deep plane facelifts under general anesthesia with a board certified anesthesiologist. The surgery is about 4-5 hours long. You are completely asleep for the procedure. Patients wake up in the recovery room like they just had a long nap. Patients tend to remain sleepy when they get home since it takes about a day for the medications to leave the system. They are very comfortable. The disadvantage is that this does require a breathing tube and patients can have a sore throat after the procedure. Also, there is a risk of nausea/upset stomach. A step down from this is monitored anesthesia care and heavy IV sedation which allows the patient to be completely asleep but breathing on his/her own. IV sedation is on a spectrum and, if done lightly, the patient is lightly sleeping and breathing on his/her own but could wake up if asked a question or needed to shift positions. Combining IV anesthesia with local anesthesia (lidocaine) can make patients very comfortable for the duration of the procedure. Many surgeons perform procedures with MAC/IV sedation with excellent experiences and results. If you are nervous about the anesthesia or what it will be like, I would ask more questions to the surgeon. You may even be able to speak to a previous patient about his/her experience with the anesthesia.
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