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LOCAL OR GENERAL? OPEN OR STITCHED? PLEASE HELP!!!

Ask Dr. David Amron questions on liposuction, laser assisted liposuction, revision liposuction, tumescent liposuction, SmartLipo, Lipodissolve, and other liposuction alternatives.

LOCAL OR GENERAL? OPEN OR STITCHED? PLEASE HELP!!!

Postby memi1211 » Tue Nov 25, 2008 8:57 pm

HI DR ARmon,

ON Dec 23rd I am getting lipo of u/l abs flanks and back! totally excited and equally terrified!...im still debating weather or not i want to do local or gen...i was leaning toward local for the safety benifits as well as the the smother and less bruised recovery time. but i was also cosidering gen bc its much quicker and bc the doc said he would be able to be more agressive which do you recommend??

the doc said he would prob remove about 4.5 liters is this too much to remove under local alone?? is there any benefit to doin local as far as bruising and swelling?? also in your opinion do yiu think it is better to leave insicions open or stitched?? are there any benefits to open drain??

stats:
21(have u ever worked on a patient this young?)
5'8"
195lbs

your feedback is greatly apreciated!!! thanks!
memi1211
 
Posts: 20
Joined: Thu Nov 20, 2008 10:23 pm



LOCAL OR GENERAL? OPEN OR STITCHED? PLEASE HELP!!!

Postby DrAmron » Fri Dec 05, 2008 11:34 am

Dear memi1211,

Regarding general anesthesia verses local anesthesia, basically you will have two camps in terms of opinions. I personally strongly feel that there are many advantages to local anesthesia. I have done many cases under general anesthesia over the years and find it to be a great disadvantage in terms of many areas. Personally, I don’t find that general anesthesia is much quicker because by the time you put the patient asleep and you do all the moving around that you are able to with general anesthesia, it tends to take at least as much time. I also strongly feel that it has nothing to do with how aggressive you are choosing to be. In many ways under local anesthesia, because the tumescent fluid is so good at reducing the bleeding, it allows me to be more aggressive in areas with less bleeding. There is a great benefit with regard to the bruising and swelling of local anesthesia because it prepares the area very well prior to doing the liposuction by hydro-dissecting, or breaking apart with fluid, fatty parts of the tissue as well as causing basal constriction. So you usually get much more of a pure fat removal. I do think it is much better to leave the incision sites open in almost all areas to drain that fluid and it tends to promote faster healing in all areas and I find that the sites heal up beautifully and are almost imperceptible if they are placed properly without suturing them up. So to summarize, I find that there are three advantages to local anesthesia over general anesthesia with regard to liposuction specifically. One is safety and if you do your research, you will find that general anesthesia liposuction has had a lot more complications approximately 1 in 5,000 mortality rate verses virtually no deaths under local anesthesia in more than 20 years. Number two, the recovery is faster. But the biggest advantage as far as I am concerned has to do with results and that is because liposuction is a very different type of surgery. It is a contouring and sculpting procedure and I personally and very particular in terms of exacting positioning the patients are in during the procedure. One thing I am careful to never do is poke or jab the skin and personally under general anesthesia because of improper positioning surgeons many times are poking the skin. This is one of the main causes of irregularities and indentations.

Dr. Amron
Dr. David Amron
Liposuction Surgeon
Spalding Drive Plastic Surgery and Dermatology
120 S. Spalding Drive, Ste. 315
Beverly Hills, CA 90212
(310) 275-2467 - phone
(310) 275-6651 - fax
www.expertliposuction.com
www.spaldingplasticsurgery.com
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DrAmron
 
Posts: 205
Joined: Thu Oct 25, 2007 7:12 am
Location: Beverly Hills, California




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