LAM FACIAL PLASTICS

do you do ops with a GA or Local.?
i personally much prefer a local ,i actually would,nt mind being awake.!
is a local safer than a general.?
thankyou.

i use either sedation (iv) or GA. straight local is not great even if others do it. a huge reason is that people that do fat under straight local use a lot of tumescence (which i do for facelifts). hearing from docs who do tumescence, i truly think the reason that they have to do fat grafting so many times to get a good result is that the tumescence (extra fluid to cut down on discomfort) compromises the fat longevity. therefore, with a full surgery center on site, i prefer at least some mild intravenous sedation. My anesthesia is very safe because the procedure is relatively short (a couple of hours) plus this is not body contouring which exposes a person to a lot of volume shifting. All the problems you have heard about in the press is related to body plastic surgeons doing 7 to 8 hour body plastic cases. Check it out.
best,
sml

thankyou ,
i was shocked when i saw some patients having face and body precedures ,and being 'under' for up to eight hours.........that cannot be good surely.?
and they looked so very ill.

yes, my longest procedure is 4.5 hours when i do EVERYTHING. but even then there are no substantial fluid shifts.