Do you recommend getting a mommy makeover under deep sedation? Why or why not?

We almost always prefer performing surgeries under general anesthesia. It is the use of medicines to make a person go to be unconscious for a medical procedure. General anesthesia makes it possible to have medical procedures that would be too painful and stressful to have while awake. Side effects like you experienced are common, but serious reactions are extremely rare.

Greetings!
There is no way to speed up the healing and recovery, General anesthesia allows the surgeon to undermine the skin and plicate "tighten the muscle". The recovery is the same regardless. You may want to speak with the anesthesia providers and possibly have a TIVA anesthesia.

Dear Stormy1221,
mommy makeover is a major surgery that can last several hours, so general anesthesia is the best option. If you are considering surgery, I would suggest you consult a board-certified plastic surgeon. Only after a thorough examination, you will get more information and recommendations.
Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

I recommend general anesthesia for this procedure, for both your safety and comfort. Be sure to let your surgical team know about the nausea you experienced with previous anesthesia, and that you had a sore throat, so that every precaution can be taken to prevent these side effects.

Thanks for your question. Mommy makeover can mean a lot of things and may include tummy, breast liposuction and even other surgeries. Even if were just a tummy tuck these things would be dangerous to do under local. Too much local anesthesia can be toxic.

If you are having more surgeries let your PS and anesthesiologist know about your prior experience. In some cases extra medications can minimize post op nausea. In some case A laryngeal mask can replace a tube in the trachea that causes a sore throat.

Your team will have to do what is safest for you but the discussion is worth having.

Best wishes.

Thanks for your question! Yes, I would suggest general anesthesia for this surgery. It is safer for you and easier for the surgeon to keep you comfortable. Good luck!

A mommy makeover with tummy tuck is a much bigger operation that breast augmentation alone, and it would be more challenging to keep you completely comfortable during the procedure. Nausea can be minimized a number of ways including Emend, a medication taken prior to anesthesia.

We are using scopolamine patch for patients who have history of postoperative nausea and vomiting. Patch is placed behind the ear 2 days before and replaced with new one for another 2 days after surgery. This has helped our patients significantly; I do not remember anybody not responding to this treatment; other medications like corticosteroid, antinausea meds are given in the course and after the surgery. Doing breast and abdominal surgery, possibly liposuction is possible in deep sedation providing that anesthesia and surgical team are comfortable and well trained in that type of anesthesia.. Hope this helps. Good luck.

IV sedation can be done safely for mommy makeovers including breast augmentations and tummy tucks combined. This can reduce risks like postop nausea/vomiting and deep venous thrombosis.

I have been doing mommy makeovers and abdominoplasty exclusively under deep sedation for over 20 years with a very positive experience of accelerated recovery and minimizing risks of blood clots. The technique requires skill in getting effective local anesthesia and close cooperation with the anesthesiologist and works very well and predictably.