Local Anesthesia Safer for Plastic Surgery Procedures and Benefits Recovery

By Amiya Prasad, M.D., FACS

Cosmetic procedures continue to grow in popularity, especially as new techniques and advancements are made in the field of plastic surgery. Before undergoing a cosmetic procedure, it is critical for patients to consider the surgeon’s anesthesia preference. The difference should make or break your decision. Today, most, if not all, cosmetic procedures can be performed under local anesthesia, however, many plastic surgeons continue to place patients under general anesthesia despite the increased risk for complications.

Dermatologic Surgery (February 2012) published a study based on ten years of data from Florida and six years of data from Alabama and found that more than two-thirds of deaths and three-quarters of hospital transfers were associated with cosmetic surgery performed under general anesthesia. Liposuction, one of the most common cosmetic procedures, accounted for 32 percent of cosmetic procedure-related deaths and 22 percent of all cosmetic procedure-related complications under general anesthesia. No deaths were associated with liposuction under local anesthesia.

General anesthesia vs. local anesthesia with sedation
When a patient is placed under general anesthesia, the patient is placed on a respirator and an endotracheal tube is placed in the throat to help them breathe. A combination of drugs causes a deep sleep during the procedure and paralyzes the body. Some patients prefer general anesthesia because they want to make sure that they are completely knocked out and unable to remember anything about the actual procedure.

Unfortunately, complication rates are much greater under general anesthesia and the body is put at a greater risk. Following a surgical procedure, patients often have a sore throat from the endotracheal tube, are very fatigued and more likely to feel nauseated or actually vomit. Recovery is considerably longer because the body has to recover from the surgery and the general anesthesia.

Under local anesthesia with sedation, a patient is placed under intravenous (IV) sedation and the area that will be operated on is numbed. The patient is relaxed, comfortable and virtually unaware of the procedure thanks to light medication, but the whole body is not paralyzed. Local anesthesia is a much safer alternative to general anesthesia because it does not put the body under stress in the same way. Most importantly, fewer drugs are needed so recovery from the procedure is faster.

Following a surgical procedure where local anesthesia is used, a patient can walk easily out of the office and does not have the nausea common with general anesthesia. Under local anesthesia, a surgical procedure becomes much less invasive and the risks to the body diminish significantly.

Local anesthesia – a much safer option
The most recent studies by leading anesthesiologists, such as Barry Friedberg, M.D., share the professional opinion that most, if not all cosmetic surgery procedures, can be performed safely under local anesthesia with intravenous sedation. Despite this fact, a large percentage of people undergoing cosmetic surgery are still subjected to the risks of general anesthesia.

The reason for this may be financial. General anesthesia requires less prep time and more procedures can be performed in a day. However, the longer someone is under general anesthesia, the more stress it puts on the heart and lungs. With local anesthesia, the preparation time is longer and fewer patients can be accommodated in a day. But, the bottom line is that a patient’s safety should always come first – far more important than the financial bottom line.

Prasad Cosmetic Surgery and Medi-Spa uses LITE anesthesia (Local, Intravenous, Tumescent, Ease of recovery) with great success for our patients. LITE is safer and allows for a much quicker and easier recovery.

Swatch "New Gents Collection" Launch

Swatch New Gents Collection 2010 Gaansevort Hotel NYC
Dr. Amiya Prasad sports a red Swatch from the 2010 New Gents Collection along with his new book “The Fine Art of Looking Younger”

Fall was just beginning to enter the NYC atmosphere and I was feeling swanky, so I geared up and dolled up to vibe and mingle with the sociable types.Perfectly enough, Swatch was holding their Men’s line launch party at the new Gaansevoort Hotel in Manhattan hosted by Nikki Reed from Twilight. Swatch’s new line was spectacular, they used artists as inspiration to design the bands for the watches. My absolute favorite was the one for “Billy the Artist”, yes ladies and gentlemen he actually goes by that name and I’m not sure if that’s one of the reasons I loved it even more. My second favorite thing of the night was the champagne and to my delight there was lot of it! I got to sip on a few glasses of joy while I chatted it up with Adrien Field from the Huffington Post, my good friend and social media guru Gregory Littley, and celebrity plastic surgeon Dr. Amiya Prasad. Also in attendance were recording artist Chris Brown and Alexandra Osipow from High Society just to name a few. – by Sarah Eggleton

New York Post SIGHTINGS: Tinsley Mortimer visits Amiya Prasad, M.D.

Amiya Prasad, M.D. mentioned in New York Post Sightings again on August 26th, 2010!

Miss Universe host Natalie Morales wearing Robin Rothfield’s RichRocks jewelry . . . Budding novelist Tinsley Mortimer getting a facial from the New York office of cosmetic surgeon Dr. Amiya Prasad . . . Tyra Banks having a model-appropriate dinner of “water, watermelon salad and shrimp cocktail” at NYY Steak at Yankee Stadium.

Read more: http://www.nypost.com/p/pagesix/sightings_nmu0omeAcREbxB70hlWvXM#ixzz0xpR1qkja

Dr. Prasad
Tinsley Mortimer visits Dr. Amiya Prasad’s Upper East Side Manhattan Office

Tinsley Mortimer visits Dr. Amiya Prasad for ‘Much Needed Facial’

Socialite and TV Personality Tinsley Mortimer Receives “Much-Needed Facial” from Pre-eminent Park Avenue Cosmetic Facial Plastic Surgeon Dr. Amiya Prasad, M.D.

New York City: August 17, 2010 – Tinsley Mortimer, a pre-eminent young American socialite and fashion entrepreneur, is known as “one of the most famous faces of the New York scene.”  Earlier today, she added to her formidable beauty by receiving a facial from the highly-regarded Park Avenue cosmetic facial plastic surgeon – and author of the forthcoming book, “The Fine Art of Looking Younger” – Amiya Prasad, M.D.  “Going now for a much-needed facial from Dr. Prasad,” she tweeted earlier today on her Twitter.

Mortimer, who has a line of handbags and clothing for Samantha Thavasa in Japan – where her beauty is famous – has appeared in the Season Two premiere episode of Gossip Girls on The CW cable network.  This led to her own reality show, also on The CW, called High Society – it first aired earlier this year on March 10, airing immediately after America’s Next Top Model.

Mortimer also contributed a section to Dr. Stuart Fischer’s best-selling book, The Park Avenue Diet, in which she made recommendations on how to perfect conversational and social skills.

Dr. Amiya Prasad(www.prasadcosmeticsurgery.com) is a pre-eminent Manhattan and New York area cosmetic facial plastic surgeon with offices in Park Avenue Manhattan and Garden City Long Island.  He is the author of the forthcoming beauty guide, “The Fine Art of Looking Younger – A Leading Cosmetic Surgeon’s Guide to Long Lasting Beauty.”

To schedule a consultation with Dr. Prasad, please complete the form below and a representative will contact you to answer your questions and schedule a comprehensive consultation. Prasad Cosmetic Surgery has two locations in New York: Manhattan and Garden City Long Island. Our facilities are Joint Commission certified, and designed for your safety, comfort, and convenience.

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    Dr. Amiya Prasad’s Red Carpet Rejuvenation for Oscars Night

    Oscar night rejuvenation

    The Oscars are only 3 days away, but it’s still not too late to get red carpet ready. Celeb beauty doc Amiya Prasad, MD dishes on the best cosmetic surgery techniques to have you looking like an A-lister in no time!

    Dr. Amiya Prasad’s Red Carpet Rejuvenation Tips for Oscar Night

    #1: Frown lines & crow’s feet are suitable for a character in a film, but certainly not for posing on the Red Carpet! Treat wrinkles with Botox or Dysport.

    #2: Want Penelope Cruz’s pout from Academy Award-nominated movie “Nine”? Juvederm can give you plump lips no leading man will forget…

    #3: Dr. Amiya Prasad’s Skin Survival Kit gets rid of under-eye circles, especially if you plan to cry during those Oscar night acceptance speeches

    #4: Best Actress Nominee Sandra Bullock’s high cheekbones convey power & beauty in “The Blind Side” (nominated in the Best Picture category). For enhanced cheeks, RADIESSE is a sure stunner

    …and the winner is..

    #5: For picture perfect skin, you don’t have to rely on special effects like James Cameron’s Avatar creatures. Microdermabrasion gives you a smooth, glowing appearance like any celeb on the Red Carpet.

    To set up a consultation with Dr. Amiya Prasad for your Hollywood look or to find out more about the Skin Survival Kit, visit www.prasadcosmeticsurgery.com or call 212-265-8877. Dr. Prasad has offices in New York City and Garden City.

    Tune into the 82nd Academy Awards on Sunday. For more info, visit Oscar.com