Should a patient be put under local anesthesia when they're getting fat transferred from the inner and outer thighs to the breasts? Or should they be awake?
December 24, 2014
Answer: Fat transfer anesthesia Fat transfer can be done under local anesthesia, general anesthesia or local with a twighlight sleep. I do all three for fat transfer to the breasts. It is dependent on how many areas are getting liposuction (ok for just local with inner and outer thighs), or how much needs to be transferred. The other more important part is how you feel about being awake for the procedure. There is some initial discomort, but the numbing medicine works well and you may feel just some pressure after that. Some patients want to know and feel nothing and thus general anesthesia is for them. Others would rather have minimal initial discomfort and save money on anesthesia. Therefore it is up to you your level of being awake. Best wishes!
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December 24, 2014
Answer: Fat transfer anesthesia Fat transfer can be done under local anesthesia, general anesthesia or local with a twighlight sleep. I do all three for fat transfer to the breasts. It is dependent on how many areas are getting liposuction (ok for just local with inner and outer thighs), or how much needs to be transferred. The other more important part is how you feel about being awake for the procedure. There is some initial discomort, but the numbing medicine works well and you may feel just some pressure after that. Some patients want to know and feel nothing and thus general anesthesia is for them. Others would rather have minimal initial discomfort and save money on anesthesia. Therefore it is up to you your level of being awake. Best wishes!
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December 29, 2014
Answer: Fat transfer for breast augment and anesthesia You are really asking several questions at once. First, is local anesthesia sufficient for fat transfer breast augmentation? The answer is that fat harvesting and implanting can be done using only local anesthesia. However, patient comfort is important, as is monitoring the patient for safety. The safest situation is one in which the surgeon performs the procedure and an anesthesia provider monitors the patient. Once you have monitoring, you can have straight local, local with IV sedation or general anesthesia. All of these are safe if you are healthy and adequately monitored. If your surgeon is not able to provide monitoring, or is trying to save you money by avoiding an anesthesia provider, you should ask if it is worth the risk to you to have surgery in this way. I perform small fat transfers in my office under local anesthesia, but for breast augmentation, patients do best in a monitored environment. The next question you are asking is what is the best way to get a good result from fat transfer to the breast? The data is clear that fat transfer alone to the breast without preparing the breast is not generally satisfactory. In order for fat to survive, it is important to create a site that will allow the fat to live. With the breast, the use of the Brava system has been shown to enhance results. This process takes some time prior to surgery to maximize your result. Even in the best of cases, as much as one third of the fat can be reabsorbed in the first 6 months. A surgeon certified by the American Board of Plastic Surgery can help you understand your options and results and help you decide what is best for you.
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December 29, 2014
Answer: Fat transfer for breast augment and anesthesia You are really asking several questions at once. First, is local anesthesia sufficient for fat transfer breast augmentation? The answer is that fat harvesting and implanting can be done using only local anesthesia. However, patient comfort is important, as is monitoring the patient for safety. The safest situation is one in which the surgeon performs the procedure and an anesthesia provider monitors the patient. Once you have monitoring, you can have straight local, local with IV sedation or general anesthesia. All of these are safe if you are healthy and adequately monitored. If your surgeon is not able to provide monitoring, or is trying to save you money by avoiding an anesthesia provider, you should ask if it is worth the risk to you to have surgery in this way. I perform small fat transfers in my office under local anesthesia, but for breast augmentation, patients do best in a monitored environment. The next question you are asking is what is the best way to get a good result from fat transfer to the breast? The data is clear that fat transfer alone to the breast without preparing the breast is not generally satisfactory. In order for fat to survive, it is important to create a site that will allow the fat to live. With the breast, the use of the Brava system has been shown to enhance results. This process takes some time prior to surgery to maximize your result. Even in the best of cases, as much as one third of the fat can be reabsorbed in the first 6 months. A surgeon certified by the American Board of Plastic Surgery can help you understand your options and results and help you decide what is best for you.
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