Breast Augmentation by Tumescent Anesthesia

Abstract

Introduction: Many surgical procedures are being performed using local anesthesia. Several articles about breast surgery describe tumescence; however, IV or general anesthesia is also used. This study examines submuscular implantation with only mild oral sedation and tumescence. Materials and Methods: Patient preparation and education was important. One hour before surgery, patients took antibiotics and pain medication. One half hour before surgery, they were given 0.11 mg of clonidine and 2 mg lorazepam. Using local anesthesia, an inframammary crease stab allowed the introduction of the infiltration sprayer under the pectoralis major muscle: 350–500 mL of 0.2% lidocaine and 1:500 000 epinephrine and bicarbonate were infiltrated and allowed to setup for 20–30 minutes. The standard implantation procedure was then performed. Results: All patients tolerated the procedure easily and were able to walk out of the office 15 minutes later. Discussion: Breast augmentation by tumescent anesthesia is a safer, more affordable alternative to general anesthesia.