Aesthetic Plastic Surgery

, Volume 43, Issue 1, pp 14–15 | Cite as

Discussion: Submuscular Breast Augmentation Using Tumescent Local Anesthesia

  • Dennis C. HammondEmail author
Editor's Invited Commentary Breast Surgery

Level of Evidence V This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors

In this article, the results using a technique of tumescent local anesthesia (TLA) along with intravenous midazolam-mediated intraoperative conscious sedation are reported in a series of 300 patients undergoing partial subpectoral pocket breast augmentation operated on over a seven-year time span. The details of the technique include a stage 1 preoperative infiltration of, on average, 520 cc of a tumescent solution containing 25 cc of 2% lidocaine with 1 mg of epinephrine and 8 mEq of bicarbonate in 1 L of 0.9% normal saline into the prepectoral plane of each breast while the patient is in the holding area. After 40 min stage 2 then consists of the patient being delivered to the operating room where, under monitored anesthesia...


Compliance with Ethical Standards

Conflict of interest

Dr Hammond has a consulting agreement with the Mentor Corporation, the Musculoskeletal Transplant Foundation, Nova Plasma, and Establishment labs.

Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature and International Society of Aesthetic Plastic Surgery 2018

Authors and Affiliations

  1. 1.Partners in Plastic SurgeryGrand RapidsUSA

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