Panic attacks and anesthesia. Is it possible to wake up in the midst of a panic attack? Will I feel "drugged" in a bad way?

Thank you for sharing your question and I can understand your anxiety.  Most patients awaken from anesthesia smoothly and with diminished consciousness making a panic attack less likely.  Talk to your surgeon, they are in the best position to help you. 

Most patients describe the experience of anesthesia as a "pleasant nap";  assuming you are working with a well experienced plastic surgeon and anesthesiologist, your "wake up" should be smooth, as well as pain and anxiety free. 





 Generally speaking, anxiety prior to surgery is very normal; its complete elimination is usually not possible. Assuming you have chosen your plastic surgeon carefully, other important "variables" such as anesthesia provider and surgery facility will be selected based on everyone's first priority: safety. This careful selection should give you some peace of mind that you will be safe around the time of surgery. 











Discuss your specific areas of concerns with your plastic surgeon who will be in the best position to help you calm your nerves.  I ask my patients to try to be as calm as possible prior to surgery; this “calmness" tends to translate to a smoother postoperative course. You may be able to alleviate some pre operative anxiety with music, exercise, meditation, a glass of wine (if ok with your surgeon), and positive/objective focus on the long term outcome/benefits etc. prior to your procedure.



Generally, patients find that they did “get worked up for nothing” after their recovery is completed.



I hope this helps.

Patients do respond differently to anesthesia. Ensure that your surgeon and your anesthesiologist understand your concerns so they can address with you. A clear conversation of a patient's usually is the best way to calm a patient.