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 Twilight Sedation and Tumescent Anesthesia

Twilight Sedation and Tumescent Anesthesia

Put your mind at ease with twilight sedation and tumescent anesthesia

Surgical procedures can cause concern for many individuals. People may worry about safety issues related to “going under” with general anesthesia. They may also want an affordable option without the expense of a hospital stay. Since cosmetic surgery is usually elective, patients have time to carefully consider their options. Alan Greenberg MD is a Frisco cosmetic surgeon who uses tumescent anesthesia as a local numbing agent. He also utilizes twilight sedation, sometimes called total intravenous anesthesia (TIVA), for more advanced operations or patients with high anxiety levels.

These types of sedation present less risk

Although general anesthesia is commonly used for emergency and complex operations in other settings, it poses a greater risk than twilight sedation and tumescent anesthesia.
With deep general anesthesia, an anesthesiologist must insert an endotracheal tube through the patient’s mouth or nose and into the trachea (airway) to keep it open. Since patients are effectively “paralyzed” and cannot breathe on their own, a respirator is required. While sedated, patients cannot talk to the doctor. There are also several other risks.
• Lung infection and respiratory problems
• Nausea
• Stroke or heart attack
• Longer recovery
Feel at ease with twilight sedation
This type of sedation falls into the category of conscious sedation, even though patients may not remember the procedure and sleep through part or all of the process. This type of sedation uses medications like Propofol, Fentanyl or Versed. Our team administers the medicine through a needle inserted into a vein.

This method doesn’t require anesthesia gas, intubation or a respirator because patients breathe on their own. However, we employ a board-certified or board-eligible anesthesiologist to monitor our patients using IV sedation for added safety.

Since patients may feel “woozy or drunk” they are advised to avoid big decisions after twilight sedation and must have someone drive them home. Usually paired with tumescent anesthesia, this type of sedation is used for several procedures.
Skin removal during lipoabdominplasties and inner thigh lifts
Fat transfers, which do not use tumescent anesthesia because it distorts the treatment area

Remain awake and aware with tumescent anesthesia

Tumescent anesthesia is a local anesthetic that numbs the treatment area. A solution of saline, lidocaine and adrenaline plumps and firms the tissue while it anesthetizes. The vasoconstrictor element (adrenaline) of tumescent anesthesia helps significantly lessen blood loss during surgery because it constricts the blood vessels. Lidocaine serves as a pain reliever and as a bacteriostatin helping reduces the risk of infection.
The tumescent solution also separates fat from the muscle and other tissue, making it highly effective for procedures involving liposuction. Patients can communicate with Dr. Greenberg and offer input during services, such as breast augmentations, brachioplasties and body contouring. Despite being awake and alert during a procedure using only tumescent anesthesia, patients are still required to have a friend or family member drive them home after their procedure.Tumescent anesthesia and twilight sedation come with many advantages.
• Faster recovery
• Reduced pain
• Diminished bruising
• Ability to communicate with the doctor (with tumescent anesthesia alone)
• Lower cost
• Fewer health risks

Bounce back better

Our goal is to keep you comfortable and safe. Contact our Frisco cosmetic surgeon to learn how our sedation options can enhance your experience. Discover why patients in Frisco, Plano, Dallas and North Texas feel relaxed and pleased with their results after cosmetic surgery.
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