Dr. Robinson Discusses Safety of Local Anesthesia in Plastic Surgery

Munster Plastic Surgeon Comments on Recent News About “Awake Cosmetic Surgery”

“Nipped, tucked and wide awake, ”a recent women’s health article on msnbc.com has gotten lots of attention because it explores an alarming issue in cosmetic surgery that could become a trend.  “Awake cosmetic surgery,” marketed under a guise of low cost and low anesthesia risk, is thoroughly investigated in the article.

To obtain better clarity regarding this issue, we asked Dr Robinson (board certified plastic surgeon) to directly address the story.

I previously read about this story on Plastic Surgery Smart Brief and was appalled. The first thing that came to my mind is, why did this patient not research this individual’s credentials? This unfortunate story is another example of buyer beware.

Had this patient done her research, she would have quickly found out the price she was quoted for the multiple procedures was too good to be true. In addition, she would have also realized this physician was not a board certified plastic surgeon.

Although small areas of liposuction can be performed under local anesthesia, it is not advisable to perform liposuction on large or multiple areas under local anesthesia due to increased patient discomfort and the possibility of lidocaine toxicity, which can lead to several complications including seizures and potentially death.

Breast augmentation is not typically done under local anesthesia without the aid of sedation. When performed in this manner, the implant is usually placed above the muscle to decrease the amount of bleeding and discomfort that can be associated with the technique.

In my practice, and in Northwest Indiana, most, if not all, board certified plastic surgeons perform breast augmentation and liposuction of multiple areas under general anesthesia in an accredited hospital or outpatient facility.

Patient safety must always come first when performing these procedures.

I cannot stress enough that prospective patients should research a physician’s qualifications and obtain a consultation with a board certified plastic surgeon prior to proceeding with any cosmetic surgery.

Patients should beware: if something sounds to good to be true it probably is.

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