Anesthesia for Breast Augmentation

Breast augmentation was traditionally performed under general anesthesia.  While this is an excellent option commonly used by many plastic surgeons, Dr. Yates feels strongly that there is a better type of anesthesia for breast augmentation.  Having used exclusively general anesthesia for breast augmentation during his six year plastic surgery residency training program it occurred to him that many of the ill-effects after breast augmentation could be attributed to general anesthesia.

Breast augmentation without general anesthesia

Strategies to minimize nausea and postoperative pain led him to total IV anesthesia sedation (TIVA) for breast augmentation.  The anesthesia provider (anesthesiologist or CRNA) administers IV anesthetic at a lower level than general anesthesia.  Although the experience for the patient feels like a very relaxing nap the amount of medication is greatly reduced.  There are no breathing tubes or assisted body functions necessary.  The secret of the procedure is that Dr. Yates places precise local anesthetic into the surgical site so that a lower amount of IV anesthetic is necessary.

The benefits of TIVA are reduced nausea, reduced postoperative pain (related to precise long lasting local anesthesia), quicker recovery, and lower risk of surgical complications.  Most patients wake while the dressing is being placed with a smile on their face and walk to recovery.  Dr. Yates has been so happy with this type of anesthesia that he uses TIVA on almost all of his procedures including tummy tucks, breast reductions, and breast lifts.