At my suburban Seattle plastic surgery practice, I”ve noticed that some patients have been requesting local anesthesia with sedation instead of general anesthesia. However, this is not usually the best option – especially for breast augmentation patients.
It”s understandable for someone to have concerns about any type of anesthesia. However, contemporary anesthesia is a highly refined science, and the risk of serious complications is extremely low when a qualified anesthesiologist is used.
Trouble With the Locals
With local anesthesia, a large amount of anesthetic may be required to achieve adequate desensitization. This large volume of anesthetic can interfere with the surgeons’ ability to assess the effect of various surgical maneuvers, and can negatively affect the outcome.
What”s Best for You
While subglandular placement may allow for more successful use of local anesthesia/sedation, one should not choose this approach simply to avoid general anesthesia. It is best to choose the type of implant and placement that create optimal results for the individual.
I answered this question in more detail on RealSelf.com.