I have lateral displacement and my ps suggested capsulorrhaphy on both breasts, also pocket enlargement towards the center of my chest and scar revision....i have 650 cc silicone implants. Can this be done under local? If so does the patient have to be monitored by machines at all? My ps suggested doing it under local with no other sedation. I would like some thoughts and opinions on this
Answer: General anesthesia Great question! If you're going to have the pockets closed down on the sides and the center opened up more, that's a lot of breast manipulation and pain that you will endure if your'e awake and not comfortable. I would recommend having this done under general anesthesia.Best of luck and hope this information helps!- Dr. Roger Tsai @DrRogerTsaiBoard Certified Plastic Surgeon
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Answer: General anesthesia Great question! If you're going to have the pockets closed down on the sides and the center opened up more, that's a lot of breast manipulation and pain that you will endure if your'e awake and not comfortable. I would recommend having this done under general anesthesia.Best of luck and hope this information helps!- Dr. Roger Tsai @DrRogerTsaiBoard Certified Plastic Surgeon
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January 13, 2020
Answer: Not a Good Idea Breast implant surgery needs the strictest of conditions to ensure a safe surgery with the lowest chance of problems. An awake patient can still potentially feel pain, and may require multiple attempts of administering local anesthesia to achieve comfort. Patient movement and talking, and a surgeon who has to constantly go in and out of the implant pocket to administer more local anesthesia is not an ideal environment; it increases your risk of implant contamination and diminishes the surgeons focus and capability. Worse case scenario you cannot tolerate the procedure and it can not be completed without sedation anesthesia. If your surgeon is suggesting local, it makes me think that he does not want to spend the money (regardless of who's paying) to take you to the operating room with a full staff of nurses and an anesthesiologist.
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January 13, 2020
Answer: Not a Good Idea Breast implant surgery needs the strictest of conditions to ensure a safe surgery with the lowest chance of problems. An awake patient can still potentially feel pain, and may require multiple attempts of administering local anesthesia to achieve comfort. Patient movement and talking, and a surgeon who has to constantly go in and out of the implant pocket to administer more local anesthesia is not an ideal environment; it increases your risk of implant contamination and diminishes the surgeons focus and capability. Worse case scenario you cannot tolerate the procedure and it can not be completed without sedation anesthesia. If your surgeon is suggesting local, it makes me think that he does not want to spend the money (regardless of who's paying) to take you to the operating room with a full staff of nurses and an anesthesiologist.
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January 13, 2020
Answer: Scar Dear Versatile8587,
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January 13, 2020
Answer: Scar Dear Versatile8587,
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January 13, 2020
Answer: Surgery under local anesthesia Like many operations we often perform under general anesthesia many could also be performed under local anesthesia. If your procedure is limited in scope local anesthesia could be possible. If you are more comfortable with general anesthesia I Susie t your surgeon would be willing to have this done so it’s worth asking.
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January 13, 2020
Answer: Surgery under local anesthesia Like many operations we often perform under general anesthesia many could also be performed under local anesthesia. If your procedure is limited in scope local anesthesia could be possible. If you are more comfortable with general anesthesia I Susie t your surgeon would be willing to have this done so it’s worth asking.
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Answer: Secondary Breast Aug/Pocket Revision Under Local- A Good Idea? Hi Versatile.Can a pocket revision be done under local anesthesia only? I guess so. Should it be done under local anesthesia only? I wouldn't recommend this at all. I see no benefit to this approach, and plenty of down sides to it. My opinion is that you would be more comfortable under general anesthesia and I personally would not consider local only.
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Answer: Secondary Breast Aug/Pocket Revision Under Local- A Good Idea? Hi Versatile.Can a pocket revision be done under local anesthesia only? I guess so. Should it be done under local anesthesia only? I wouldn't recommend this at all. I see no benefit to this approach, and plenty of down sides to it. My opinion is that you would be more comfortable under general anesthesia and I personally would not consider local only.
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