Many women choose not to move forward with cosmetic surgery procedures because they believe that a general anesthetic is the only option. Our Board Certified Anesthesiologists offer several options: local, local with IV sedation, and general anesthesia.
The final decision is guided by the type of procedure you are having and other unique factors. Here are some general guidelines:
Most minor plastic surgery is performed under local anesthesia. A numbing medication, such as Lidocaine, is injected under your skin to quickly impair nerve function and numb tissues.
While you may feel some pressure or tissue movement, there should be no pain. Thin needles and other techniques are used to minimize injection discomfort.
You can be fully awake with local anesthesia. An anesthesiologist will be present to monitor you and be available if needed for any reason.
Even though you will be fully alert throughout the procedure, you will be observed for a short time in the recovery room, and you will need someone to drive you home and stay with you for the first 24 hours.
Local Anesthesia with IV Sedation
Most of Dr. Broadway’s plastic surgery procedures are performed under local anesthesia with IV sedation. This approach is very safe because you are breathing on your own without the use of a general anesthetic machine or breathing tube. Recovery from IV sedation is often much quicker.
An anesthesiologist will be present to administer the sedation and to carefully monitor you throughout the procedure. It is the anesthesiologist's job to keep you comfortable during your surgery.
Sedation does take some time to wear off, so patients receiving this type of anesthesia will be observed for a period of time following the procedure. You will need someone to drive you home once you are out of recovery, and stay with you for the first 24 hours
General anesthesia is typically for longer procedures, and you will be completely asleep. An anesthesiologist will mix several different medications that you inhale or receive through an intravenous line. This allows you to be completely unaware and not feel pain throughout your procedure. An anesthesiologist will carefully balance your needs for medication while watching your heart, blood pressure and breathing functions.
While general anesthesia is appropriate for use in both inpatient and outpatient procedures, it may take some time for the medication to wear off. You will need someone to drive you home once you are out of recovery and stay with you for the first 24 hours.