I have pvcs & a few muscle twitches daily & getting chin & lipo 360, advice?

Hi, thanks for your question. Everybody may feel scared when going to the operating room. If you trust your cardiologist, you shouldn't be afraid. Talk openly to your plastic surgeon about your feelings and learns about how your anesthesiologist will deal to make your procedure safer. Good luck!

People are often scared of things based on emotion and not things that are intellectually dangerous.
The fear of general anesthesia is extremely common but unfounded.
What people should be scared of is dying in a car accident or being left disfigured by plastic surgeons who really didn’t have the skill and experience to do Liposuction well.
Personally I do all liposuction procedure including full body work with patients awake using local anesthesia with mild sedation. I’ve been doing my body contouring this way for the last 12 years and find it a far better way to do the procedure. it requires the surgeon have experience and be patient. They can still be moderate discomfort but with having sufficient skill and using proper amounts of local anesthesia the procedure becomes tolerable like having a dental procedure or perhaps getting a tattoo.
The main advantage I find for avoiding general anesthesia is my ability to have the patient turn on their own and hold different anatomic positions while I’m contouring their body. there are lots of other advantages but you’ll find that most plastic surgeons are going to rely on general anesthesia for abdominal liposuction.
Delivering consistent quality liposuction results is more difficult than most people believe. Because of that I encourage patient to be very careful when it comes to choosing their providers. I recommend all patients have multiple in person consultations before committing to having surgery. During each consultation ask each provider to show their entire collection of before and after pictures. being shown a handful of sample pictures which most likely represent the best results of the providers career is insufficient to get a clear understanding of an average results look like in the hands of each provider. an experienced provider should have no difficulty showing you at least 50 sets of before and after pictures for common procedures like abdominal liposuction. highly experienced surgeons will have hundreds or thousands of sets of before and after pictures of these common procedures.
Ask the surgeon to show as many pictures as possible of patients with similar body characteristics to your own. You should also ask them to show you examples of excellent outcomes, average outcomes and less than outcomes.
Look carefully at all areas treated to make sure there are no skin irregularities or contour defects on any area treated. Ask the surgeon to review the pictures with you and define areas treated in areas not treated. After that look carefully at transition zones between treated and untreated areas to make sure that they blend naturally. Personally I view the torso as a single anatomical area and always include the entire back and under arm in order to leave patience with a natural thing the fat distribution without transition zone between treated in on treated areas.
Finally I recommend reading all reviews and various physician review websites avoiding providers for any significant number of justified negative reviews. The absence of justified negative reviews is more important and more telling them having an abundance of positive reviews.
Substantial number of plastic surgeons are not particularly good at liposuction and don’t really care for doing the procedure. You need to avoid these type of providers because they never improve on the results and a substantial number of people end up being disfigured from Liposuction on a daily basis.
I’m sure your surgeon is very nice probably experienced and board-certified but lots of people have ended up with the results for different than what they anticipated in the hands of well-meaning nice doctors who did all the proper training.
Patience needs to be advocates for themselves and push providers to open up their portfolios so they have an honest representation of what average results look like in people with similar body characteristics.
Doing so also confirms the number of cases someone has done.
It takes years to master body contouring to be able to do it well consistently.
Unfortunately Liposuction is often seen as one of the easiest procedures to do and in many ways it is. It is however one of the most difficult procedures to perform well on a consistent basis and the consequences of lacking skills is permanent and irreversible.
Not waking up from anesthesia is one of those fears like strangers subducting our children.
The concept is frightening but the truth is it doesn’t happen very often.
Being left with an irreparable liposuction result and being hit by a drunk driver happens all the time.
Sorry if my message was a little out there but I have seen too many people be disfigured from incompetence plastic surgeons to care for in one lifetime.
For reference I’ve been a board-certified plastic surgeon for 22 years. I spent the first 10 years doing general plastic surgery in the last 12 years doing only liposuction and fat transfer procedures. My results today are strikingly different than they were earlier in my career.
Best,
Mats Hagstrom MD