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Old 02-19-2008, 01:14 AM   #1
 
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Angry Why do general over local anesthesia for lipo??!

I'm looking into getting liposuction and the surgeon I saw offered both general anesthesia and local. Now I didn't know all the side effects general had! I'm looking at the some papers in front of me on it and they include complications such as vocal cord injuries, chipped teeth, hypothermia, hyperthermia, pulmonary embolism, deep vein trombosis, and more. Because of the intubation all of these liposuction complications are possible with general anesthesia.

The other option uses a drug called ketamine. That way your asleep but you still have your reflexes, still breathing on your own, if you cough you cough on your own and everything else. It says it's also better for the muscles because the deep veins in the leg don't become stagnant or clotted. Then if that wasn't scary enough, deep vein trombosis can break open and result in a brain or pulminary embolism!

Whew, a lot of danger there! So what would the argument me to go under general anesthesia for liposuction? Are we all just being swindled out of paying more for our procedures? My sister who's a nurse said a lot of doctors try to get patients to go under general for all kinds of silly simply things just so they can charge your insurance a fortune for it because often those fees are more than the surgery fee itself when billed to insurance!

Is there ever a VALID reason to get liposuction under general?


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Old 02-21-2008, 09:31 PM   #2
 
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The Operating Room is a humongous money maker! My dermatologist was telling me some doctors now try to even convince patients to go under general anesthesia for something as simple as a mole removal!! Can you believe that? FOR A MOLE! Most plastic surgeons are ethical but there are many that want to stretch out their profit to the max, even if that means sending their patients to the O.R. even when they don't need it. It's really too bad that this deception even goes on at all. There's surgeries it's a given you need general anesthesia for like rhinoplasty, breast implants, face lifts and other major procedures, but all these little things like liposuction or scar revision surgery or something like that it is so not necessary! Another humongous conflict of interest is that a lot of times that doctors own or get a cut of the profit from the O.R.

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Old 02-23-2008, 12:07 AM   #3
 
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I do not know of any liposuction procedure where you need to go under general anesthesia. I'm sure there may be the occasional extreme case but generally speaking it should not be necessary. It's great the you are informed of the complications with general... it's no easy ride!

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Old 06-17-2009, 03:49 AM   #4
 
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Local Anesthesia - numbing confined to one part of the body. Local anesthetics percolate into nerves and prevent them from sending or transmitting their usual signals of pain or sensation in the case of "sensing nerves". The area injected that the nerve(s) passing through serve are "numbed" or "deadened". In the case of liposuction, local anesthesia (given by needle or probe) is used to numb the entrance wounds and makes-up a large part of the Klein tumescent solution. One might correctly say that having the tumescent method performed straight (without sedation or general anesthesia) is the same as having liposuction done totally by local anesthesia. In properly selected patients, the risk of a problem is extremely slight and lower than with sedation which is also lower than with general anesthesia. However, this may not be the case in many patients because before local anesthetics can numb an area the nerves "fire off" one last time which may be felt as pain or stinging. In patients with a low pain threshold, known or unknown heart disease, or nervousness (among many other common conditions) using straight tumescent or local anesthesia only can cause problems and lead to a less than optimum result. It is therefore usually advisable to offer patients the option of having an anesthesiologist or CRNA present for the liposuction, which does not mean that any drugs have to be given. Sedating drugs could then be given if requested by the patient to reduce the pain of the initial local anesthesia or Klein tumescent solution.

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Old 09-12-2009, 06:09 PM   #5
 
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Question Confused about plastic surgery Bill

Okay, so I am having surgery on Monday and I have paid my surgeon. The bill supposedly includes operating room costs, anesthesiologist, implant fee and the surgeon. The problem....I received a bill from the hospital today for estimated costs not covered by insurance (my deductible). I am confused. can ANYONE provide some clarity?

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Old 05-10-2010, 10:51 AM   #6
 
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So with a local, your still awake?

I'm kind of lost with this. I understand general, your totally down.
But with Local Anesthesia it just numbs the area of insertion?

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Old 05-10-2010, 04:36 PM   #7
 
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Local you are still awake. It is customary for this type of procedure.

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Old 05-11-2010, 05:29 PM   #8
 
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Quote:
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Local you are still awake. It is customary for this type of procedure.
OMG... I don't think I can handle watching or knowing these people are sucking fat out of me while i'm awake.

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Old 05-11-2010, 05:52 PM   #9
 
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LOL it's not as bad as it sounds. I havent had lipo but know many people who have. I can agree with your sentiments, but once you do some research you will have to weigh out the pain and risk vs. the results. youtalk, you are too funny ... but so real!

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Old 05-12-2010, 10:23 AM   #10
 
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LOL it's not as bad as it sounds. I havent had lipo but know many people who have. I can agree with your sentiments, but once you do some research you will have to weigh out the pain and risk vs. the results. youtalk, you are too funny ... but so real!

Am I right? I'd be freaking watching some guy shove a vaccum under my skin jerky back and forth sucking away... I'd probably pass out, so it might not be to bad...

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