Providing their patients with safe and competent care is the top priority at most plastic surgeon's offices. Opting to undergo a cosmetic procedure is a big decision in any woman or man's life. Most patients are understandably nervous before their procedure, however, all patients are pleasantly surprised afterwards upon realizing how easily the procedure is performed under local anesthesia.
Not all clinics are using this optimal and safer method yet, mainly because it requires more skill, training and careful monitoring. Of the clinics who are utilizing Dissociative Sedation, thousands of procedures have been performed with no cases or minimal incidences of deep vein thrombosis or pulmonary embolus. These complications are more common when general anesthesia is used due to the stagnation of blood that may occur in large veins which, because of the lack of mucle tonus and / or contracting during prolonged, deep general anesthesia, facilitates intravascular thrombi formation.
Dissociative sedation allows for deep anesthesia but does not interfere with reflexes and muscle tonus, so that patients are able to cough on their own. More importantly, their leg muscles maintain tons throughout the procedure, regardless of its length. Additionally, there is a protective effect of one of the medications used with this technique because it provides a reduced platelet aggregation, which may explain the lower incidence of deep vein thrombosis.
Plastic surgeons who make use of safe sedation are highly trained in administering this safe and effective technique. It is important to most plastic surgeons that their patients are well educated and aware of the long and safe history of dissociative anesthesia prior to their procedure.