What's the Difference Between a C Section and Awake Tummy Tuck?

I know if you have a C section your have the option to be awake so why not a tummy tuck . i feel better awake for the surgery? are there any doctors who will do this surgery awake?

Doctor Answers 3

Awake Tummy Tuck

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It is possible to have either a spinal or epidural anesthesia for tummy tuck or abdominoplasty procedure.  Although it is very rare that I perform abdominoplasty under this form of anesthesia, it is possible if done with a well experienced board certified anesthesiologist on staff.

New York Plastic Surgeon
4.7 out of 5 stars 106 reviews

Tummy tuck requires general anesthesia

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A full tummy tuck needs anesthesia which would be effective in the upper abdomen up to the sternum whereas a C-section needs the patient to be numb only in the lower abdomen. Therefore, so as not to restrict your ability to breathe, you need to be intubated and under general anesthesia. A mini-tuck, which addresses the lower abdomen only, could be performed under spinal anesthesia but this operation is appropriate in limited cases.

Difference Between a C Section and Awake Tummy Tuck

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The anesthesia for a c-section is typically an epidural, which gives good anesthesia for the lower abdomen. For a TT,  the needs are greater, and the surgical field goes all the way up to the breast bone. An epidural that works that high can compromise your ability to breathe, so it is not commonly done because of the safety issue.

Thanks for your question, best wishes. 

Jourdan Gottlieb, MD
Seattle Plastic Surgeon

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.