Discussion: Submuscular Breast Augmentation Using Tumescent Local Anesthesia
- 77 Downloads
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 www.springer.com/00266.
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.