Risks of Twilight Sedation for Breast Lift and Augmentation?

All surgical procedures carry some degree of risk. Any breast
operation can result in changes in sensation. This happens less with lifts than
reductions but is still possible Occasionally, minor complications occur and do
not affect the surgical outcome. Major complications associated with this
procedure are rare. The suitability of the breast lift procedure and specific
risks may be determined during you consultation. Note that either type of anesthesia can work comfortably for your procedure, and this can also be decided upon when discussing with your PS.Over time, gravity will
continue to have an effect and the breast skin will tend to stretch. The degree
of #stretching and #sagging varies between women: generally, women with smaller
breasts experience less recurring sagging. If sagging does occur, further
excision of the skin on an outpatient basis can be used to correct the problem.
Heavy and large breasts may lead to recurrent sagging and may require the
removal of a small amount of breast tissue to achieve an optimal shape and
size. One key to a satisfying result is realistic expectations.

Thank you for your question. Both types of anesthesia can provide a safe and comfortable platform for breast augmentation surgery. It is more important that you feel comfortable with your surgeon and the surgical plan as this is ultimately what you will be remembering after the procedure.

It’s possible to perform combination breast augmentation,
breast lift surgery utilizing either IV sedation or general anesthesia.Each approach has advantages and
disadvantages and both approaches have advocates.It’s important that anesthesia be administered by a board
certified anesthesiologist irregardless of the type of anesthesia
utilized.This is an important point
because IV sedation is occasionally administered without an anesthesiologist as
a cost cutting maneuver.When this
happens, your surgeon is also your anesthesiologist.I generally prefer general anesthesia for a variety of
reasons.I typically place implants
beneath the muscle and feel that general anesthesia makes the experience more
comfortable for my patients.With newer
anesthetic agents, patients tend to recover quickly with less nausea and fewer
side effects.It’s important to discuss these issues with your plastic
surgeon before proceeding with surgery.It’s important that both of you are comfortable with the choice of anesthesia.In some cases, it might also be helpful to
meet with the anesthesiologist before proceeding with surgery.

I recommend that you focus on the anesthesia provider rather than the type of anesthesia. I insist on a board certified M.D. anesthesiologist to provide my patients' anesthesia care. Most of my patients undergo breast lift/implant surgery under LMA (laryngeal mask airway) anesthesia, but depending on their history, anatomy, etc., the anesthesiologist may recommend endotracheal intubation or a lighter form of anesthesia called MAC (monitored anesthesia care).

Twilight anesthesia may not be safer than general anesthesia especially if you are going to be under for a while, as you will be for a breast augmentation and breast lift.
So I would be very carefull in regards to this. As long as you are healthy and have no medical problems that you may be ok for general anesthesia.