Anesthesia For Facial Plastic Surgery

This how-to-do-it text is on the administration of intravenous sedation & local anesthetic blocks for all procedures in facial plastic surgery - rhinoplasty, blepharoplasty, rhytidectomy & dermabrasion. The book also includes chapters on monitoring the patient while under anesthesia, as well as the recovery phase.

One major by-product of the aging baby-boom generation has been a surging interest in cosmetic surgery. Out-patient cosmetic surgery clinics have sprouted up in droves all over the U.S., and the number of cosmetic procedures performed in 2005 increased by over 95% from the previous year. Although procedures like facelifts and abdominoplasties (the 'tummy-tuck') are considered minimally invasive, the anesthetic protocols and regimens here are often overly complex and unnecessarily toxic. Major complications involving anesthesia in this (and any other) surgical milieu can range from severe post-operative nausea and vomiting (PONV) to neuromuscular spasticity to mortality. The mortality spectrum of things may be rare, but there have been many cases in which perfectly healthy cosmetic surgery patients require emergency intervention due to a severe complication involving anesthesia. In recent years, many new anesthetic protocols have been developed to reduce the incidence of PONV and other complications, while ensuring that effective pain management and level of 'un-awareness' during surgery is always maintained.

The scope of use of local anesthetics in procedures in plastic surgery is covered in this issue of Clinics in Plastic Surgery. Discussion centers on plastic surgeons in private practice in ambulatory facilities and those scheduling time for OR in hospital facilities using local anesthetics while accommodating patient comfort and absence of side-effects post general anesthesia. Presented in this publication are the most common plastic surgeries that can be done under local anesthesia, each with a discussion of the optimal anesthetic, method of administration, and dosage. Video of the procedure or portion of the procedure, as applicable, accompanies the techniques along with a surgical case. The goal of this issue is to provide a concise reference for surgeons’ planning surgeries to review and perhaps adapt currently used methods with this latest information on local anesthetics. Surgical Technique is provided in detail with full analysis of Patient Selection and Planning, Complications and Post-procedure Care. Contents include Complications; Basic Science of Locals; Skin Grafts and Flaps; Peripheral Nerve; Foot Surgery; Breast Surgery; Liposuction; Hand Trauma; Oculoplastic Surgery; Ear Surgery; Hair Transplantation; among others.

Patient safety is an overriding concern in all surgery and particularly in plastic surgery, where many of the procedures are elective, but information about patient safety has traditionally been scattered throughout the literature. Patient Safety in Plastic Surgery covers all of the essential patient safety topics in one valuable resource. Timely and practical, the book places special emphasis on clinical issues. It begins with the safety concerns most often identified by plastic surgeons, such as DVTs, surgical site infections, sleep apnea, and anesthesia safety. Beyond these obvious problems are major safety issues that often fall off the radar. These are critical to patient comfort and safety, but they do not always receive the attention they merit, such as hypothermia, nausea and vomiting, proper patient positioning, and screening and management of medical co-morbidities. Other important chapters focus on the identification and avoidance of patients who are poor psychological candidates for surgery and the legal aspects of safety. The book is edited by V. Leroy Young, a well-known plastic surgeon, and Richard Botney, a noted anesthesiologist. They offer readers the advantage of their combined experience along with that of a multidisciplinary group of experts on the different topics covered.

Cosmetic Surgery: Art and Techniques is an atlas of general cosmetic surgery that provides precise step-by-step descriptions of the full range of techniques, supported by photographs and illustrations of the highest standard. The book is comprehensive in its scope, covering the diverse procedures performed on the head and neck, breast, abdomen, buttocks, and extremities as well as other techniques such as labioplasty, penile enhancement, and total body lift. Risks and complications are fully explained, with clear advice on how to avoid and to treat them. All of the contributors are internationally recognized experts with extensive knowledge of their subject. This book will be of value to beginners, and experienced practitioners in not only cosmetic surgery but also plastic surgery, general surgery, oral maxillofacial surgery, neurosurgery, dermatology, otolaryngology, and ophthalmology.

Complications in cosmetic surgery – no surgeon wants to admit to them, all surgeons dread them, and all have experienced them. This issue is devoted solely to complications in facial plastic surgery – the most common and the most feared - and discussion on best approaches to avoid them. Each article focuses on a specific procedure. Each article discusses: Surgical Complications, Pharmacologic or Interaction Complications, Nonpharmacologic Complications, Complication Avoidance, Procedural Approach (with video), Complication Management Perioperative, Complications Management Postoperative. Written by facial plastic surgeon experts, this information is essential for facial plastic surgeons, plastic surgeons, and to cosmetic adjunct professionals who perform injections and resurfacing. This publication is directed by two expert practitioners and academicians who are at the apex of their field, Dr Richard Goode and Dr Sam Most. Their substantive teaching and training experiences position them to provide comprehensive understanding and skills in performing cosmetic surgery.