At the Bougainvillea Clinique we offer our breast implant patients many options and choices. We provide saline and gel implants, under the muscle and over the muscle placement, and all the various incisions, including under the breast (inframammary), under the nipple (areolar), through the belly button (TUBA) and through the armpit (transaxillary). One of the questions we are sometimes asked, pertains to the options available for anaesthesia. Like any other cosmetic surgery procedure, breast augmentation can be performed under local anaesthesia, local with sedation (twilight) or general anaesthetic. Some surgeons place a lot of emphasis on the fact that they do breast augmentation under pure local anaesthetic, and although we will provide this if our patients specifically request it, it is not our recommendation for a number of reasons. Before I explain these reasons, I would like to emphasize that all the surgeons in the Orlando area who strongly promote local anaesthetic,
do not have fully accredited and licensed surgical facilities, and as such, it is illegal for them to provide any services under intravenous sedation or general anaesthetic in the State of Florida. At the Bougainvillea Clinique, we have the fully state and federally certified
Aesthetic Surgery Center of Winter Park, so we are able to make recommendations based on what we think is best for you, and not based on the limited options that some other surgeons are able to offer.
Breast augmentation is a relatively short and quick procedure, so our objective is to make sure that your procedure is done safely, with minimal discomfort, and a rapid recovery. After performing more than 4000 breast augmentation procedures without a single anaesthesia complication, I have found that the deep sedation and general anaesthesia techniques that we use, combined with local anaesthetic works best for our patients. The technique is similar to the technique used thousands of times everyday in the US for short surgical and diagnostic procedures such as colonoscopy.
The combination of short acting sedation and anaesthetic medications, combined with local anaesthetic in the area around the breast, allows the procedure to be performed with zero discomfort during the procedure, quick recovery and rapid return to normal activities.
Another reason that some other practitioners promote as a reason to use local anaesthetic only, is that this allows you to see the size of the implants during the procedure. I believe this is very misleading, as it requires large amounts of local anaesthetic fluid in the breast tissues to perform the procedure purely under local anaesthetic. This fluid distorts the breast shape and size, so you will not be able to accurately decide on the size of the implant with this procedure.
Finally, the use of local anaesthetic only for breast augmentation may require high doses of local anaesthetic to make the patient comfortable, and may need to be placed in an area of rapid absorption, particularly for under the muscle placement of the implant. There have been reports of overdosage of local anaesthetic in situations like this, which can result in complications such as seizures. Yes, breast augmentation can be performed under local anaesthetic only, but it may not be the simple, comfortable and safe procedure that some surgeons would have you believe. If a surgeon recommends breast augmentation under local anaesthetic alone, be sure that his facility is licensed to provide all types of anaesthesia, including general anaesthesia. Be certain that he is recommending local anaesthetic as an option, and not the only option he can provide.
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