Considering Submuscular Breast Augmentation? Here’s What You Need to Know About Tumescent Local Anesthesia
"A closer look at the safety, efficacy, and patient experience with tumescent local anesthesia in submuscular breast augmentation."
Breast augmentation is a popular cosmetic procedure for women seeking to enhance their breast size and shape. While traditional methods often involve general anesthesia, recent advancements have introduced tumescent local anesthesia (TLA) as a promising alternative. This technique, combined with intravenous sedation, aims to provide a more comfortable and less risky experience for patients undergoing submuscular breast augmentation.
A study published in Aesthetic Plastic Surgery journal delves into the outcomes of using TLA in a series of 300 patients. Conducted over seven years, the research explores the safety, efficacy, and patient satisfaction associated with this approach. By understanding the nuances of TLA, women can make more informed decisions about their breast augmentation journey.
This article breaks down the key findings of the study, offering a comprehensive overview of TLA in submuscular breast augmentation. From the preparation process to potential complications, we'll cover everything you need to know to determine if this technique aligns with your personal preferences and health considerations.
What is Tumescent Local Anesthesia (TLA) and How Does It Work?
Tumescent local anesthesia involves injecting a large volume of dilute anesthetic solution into the targeted area. This solution typically contains lidocaine, a local anesthetic, along with epinephrine to constrict blood vessels and minimize bleeding. Bicarbonate is also added to neutralize the pH of the solution which reduces the burning sensation of lidocaine. The fluid-filled tissue becomes firm and swollen, hence the term "tumescent."
- Stage 1 Infiltration: Involves injecting an average of 520 cc of tumescent solution (containing lidocaine, epinephrine, and bicarbonate in normal saline) into the prepectoral plane of each breast while the patient is in the holding area.
- Stage 2 Anesthesia: Patient is transferred to the operating room, where intravenous midazolam is administered as an amnestic agent under monitored anesthesia care by an anesthesiologist.
- Subpectoral Injection: Following incision, an additional 180-240 cc of the same tumescent solution is placed in the subpectoral space in each breast.
Is Tumescent Local Anesthesia Right for You?
Ultimately, the decision of whether to undergo submuscular breast augmentation with tumescent local anesthesia is a personal one. By understanding the details of the technique, potential benefits, and associated risks, you can have a more informed conversation with your plastic surgeon and determine the best approach for your individual needs and preferences.