American Society of Plastic Surgeons
For Medical Professionals
 
Katya95
one year ago
Answered

Problem with sedation

Hello,

I'm a 23 year old very healthy female.

A few months ago I went to get my wisdom teeth removed under sedation. They injected me with fentanyl and midazolam. I had a very bad reaction and would not sedate and a kind of brief psychosis. I know now that I cannot have benzos at all. I want a breast augmentation later on. Is propofol going to be okay for me? What can I do for sedation?

Procedure: Breast Augmentation
Type: Question

Replies 4

Gregory Dowbak
ASPS Surgeon

Hi Katya! Yes, you can have your breast augmentation! Benzodiazepines can sometimes cause a side effect like you experienced. Just avoid all benzodiazepines. Propofol is A-OK. Make sure your surgeon uses a qualified anesthesia provider to induce general anesthesia with propofol and secure airway with endotracheal tube. Post op care should include short term analgesia for 3 days but NO sedation. Good luck! ❤️

More
 Show more Replies  Replies 1 less
Katerina Gallus
ASPS Surgeon
Add to Favorites

Hi Katya. Thank you for your question. I am sorry to hear you had such a horrible experience with removing your wisdom teeth. The good news is that there are definitely means to have general anesthesia without benzodiazepines and that you can proceed with a breast augmentation or other surgery in the future. Make sure your anesthesia provider is certified and is aware of your previous history and they will create a plan for you. Best of luck!

Dr. Katerina Gallus MD FACS

More
 Show more Replies  Replies 1 less
Susan Buenaventura
ASPS Surgeon
Add to Favorites

Hello, it is certainly possible to have general anesthesia without benzodiazepines for the augmentation. Make sure you have an MD anesthesiologist caring for you, not just a nurse anesthetist. It also may be wise to have it done in a hospital setting rather than office, and have a medical evaluation beforehand, to determine what caused the previous reaction. I think general anesthesia is a wiser choice for the surgery. Best wishes.

More
 Show more Replies  Replies 1 less
Nelson Castillo

Thank you for sharing your question and I am sorry to hear of your side effects. You can still safely have a breast augmentation performed without the use of benzodiazepines but be sure to mention this during your anesthesia consultation. Hope this helps.

More
Logo

Patient Care Center