anesthesia concern

[Marq25]

I talked with the PS and he advised me that he uses a local anesthesia with sediation (twilight method).  My question is: will I be totally asleep when he is working on me, and will I feel anything?  I want to be totally out of it and sleep so that I am comfortable.  He said that I will be asleep and will not feel a thing.  Is this true?

[a-man]

This topic has been discussed many times.. I suggest you do a search for 'twilight'

One of the most popular surgeons on these forums, Dr. Bermant, uses the twilight sedation method.

Responses from people who have undergone surgery using this method say that they were fast asleep, and felt nothing at all. One minute you are awake, the next minute you are in the recovery room.

[DrBermant]

I talked with the PS and he advised me that he uses a local anesthesia with sediation (twilight method).  My question is: will I be totally asleep when he is working on me, and will I feel anything?  I want to be totally out of it and sleep so that I am comfortable.  He said that I will be asleep and will not feel a thing.  Is this true?

For my patients needing skin alone nipple reduction, I offer local anesthesia alone option.  With tumescent techniques, I have evolved a better system under local with heavy sedation.  Without the sedation, there are just too many possible problems.

Some surgeons use general with tumescent techniques. Some use general alone.  I found that general anesthesia can leave patients with a higher chance of nausea and discomfort after surgery.

Each surgeon has his / her preferences about anesthesia.  I typically use local with heavy sedation.  That is not general anesthesia, but the patient is not awake.  We use medications injected into an IV for this sedation.  That is how we help keep our patients comfortable for most types of gynecomastia chest sculpture.  Sedation itself is an art.  I will use local anesthesia alone when performing actual nipple reduction surgery.

You can look at other posts here in this forum where anesthesia and sedation are discussed:

I prefer to perform tumescent anesthesia with sedation over general anesthesia or local anesthesia alone for most types of male chest sculpture. We take the comfort of our patients very seriously. You can find a number of posts here in this forum where patients describe their anesthesia experiences under this local anesthesia with sedation:

http://www.gynecomastia.org/cgi-bin/gyne_yabb/YaBB.cgi?board=1;action=display;num=1021397758;start=0#0

http://www.gynecomastia.org/cgi-bin/gyne_yabb/YaBB.cgi?board=1;action=display;num=1030314533;start=0#0

http://www.gynecomastia.org/cgi-bin/gyne_yabb/YaBB.cgi?board=1;action=display;num=1037669367;start=4#4

http://www.gynecomastia.org/cgi-bin/gyne_yabb/YaBB.cgi?board=14;action=display;num=1052569996;start=0#0

http://www.gynecomastia.org/cgi-bin/gyne_yabb/YaBB.cgi?board=14;action=display;num=1062552462;start=0#0

http://www.gynecomastia.org/cgi-bin/gyne_yabb/YaBB.cgi?board=14;action=display;num=1065016337;start=4#4

http://www.gynecomastia.org/cgi-bin/gyne_yabb/YaBB.cgi?board=14;action=display;num=1073182463;start=4#4

Hope this helps,

Michael Bermant, MD
Learn More About Gynecomastia and Chest Sculpture

[rob_m]

hey marq, i posted a thread yesterday after returning home from surgery.
if you want, check it out, it's topic is, "just returned from surgery.
hope it helps
                          Rob