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Breast Augmentation

Problem with sedation

Katya95 Seattle, WA
6 months ago


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?

Gregory Dowbak, MD Miami, FL
6 months ago

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! ❤️

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Katerina Gallus, MD San Diego, CA
6 months ago

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

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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.

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Nelson Castillo, MD Atlanta, GA
6 months ago

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.


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