American Society of Plastic Surgeons
For Medical Professionals
5 years ago

Multiple Same Day Surgery

I recently had a consultation with a doctor about getting the following procedures done during the same day: brow lift, upper/lower eyelid surgery, CO2 laser, neck lift, face lift, lipo from thighs, fat transfer to face. No general anesthesia. Numbing, Xanax, etc. Total estimated time 6:30AM - 2:30PM. I am concerned about the lack of general anesthesia. Perhaps is more safe but concerns me.

Procedure: Eyelid Surgery
Location: Canton, OH

Replies 5

Rahul Vemula
ASPS Surgeon
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Hi Margaret. Thank you very much for this excellent question. All of these procedures can be done under local anesthesia. However my main concern is when combining all of these procedures, I personally tend to prefer doing all of this under General anesthesia. In addition to reduce potential risks of surgery / anesthesia, I also limit my anesthesia time to six hours for cosmetic cases. If you do decide to have all of these procedures done at once and

I also limit my anesthesia time to six hours for cosmetic cases. If you do decide to have all of these procedures done at once and decide to proceed with local anesthesia, I would strongly advise that there is a board-certified anesthesiologist that is present to monitor your care. Also please verify that your surgeon is also board certified by the American Board of plastic surgery. Best wishes!

Susan Buenaventura
ASPS Surgeon
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Please be sure your surgeon is an ASPS Board certified plastic surgeon. If so, their surgical office suite must be certified and accredited, Combining multiple procedures must be done with good judgment and you can plan on two separate surgeries to keep the surgical time within reason. I would recommend you have an anesthesiologist monitoring you during surgery for safety. Anesthesia is appropriate and safer for the procedures you are having.

Nelson Castillo

Thank you for sharing your excellent question. For most patients treatment under general anesthesia is the preferred method of care for both safety and expediency. I would discuss your concerns with your surgeon so that you can make the best decision for yourself.

Edward Domanskis

My main priority is safety and second equally important is result for the patient. The amount that you are planned to have seems a lot but it depends on how much is done with each procedure you name.

Dr. Edward Jonas Domanskis is Certified by the American Board of Plastic Surgery

Newport Beach, San Francisco,Miami, EU, Anguilla

Assistant Clinical Professor of SurgeryWOS-Plastic,University of California (Irvine)

Orange County’s Physician of Excellence/America’s Top Physicians/Top Doctors

Plastic Surgery- 2005-2018

President,American Society of Bariatric Plastic Surgeons

Organoderm Skin care/ScaRxTape

Lori Cherup
ASPS Surgeon

Margaret- That frankly sounds insane to me. I know of no patient or surgeon who could pull that off. Don't try- you will be miserable. Go to a good board-certified plastic surgeon who would do these procedures in a AAAASF or JCAHO-certified "C" grade surgery center under local sedation or general anesthesia . Because there are so many areas that are being worked on, there is a limit to the amount of local xylocaine that can be given without hurting your heart. Under local, you may be well over that limit. Under general, as much xylocaine will not be used. You need to consult with another surgeon and get another opinion on procedures required to get the improvement you want, and the techniques.


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