Question: I want breast implants, but I am scared of being put to sleep. I have never had any type of surgery in the past. What type of anesthesia is there and which one is the best for a breast aug?
Answer: There are basically three types of anesthesia available: 1) Straight local. The doctor injects medication into the area that he plans to operate on and this medication contains something in it to both numb the area and to shrink the blood vessels. 2) Local with sedation. An IV sedation is started prior to surgery and through that IV sedation, medication is given prior to injecting the local. This helps decrease any pain associated with local sedation. 3) General anesthesia. The patient is brought to the operating room and an IV is started and the patient goes to sleep. While asleep a local anesthesia may or may not be used. This last technique with general anesthesia is the most popular because the patient is totally unaware of what is going on and feels absolutely no pain during the procedure. Generally for the comfort of my breast augmentation patients my anesthesiologist uses general anesthia or a combination of local and general.
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