Monthly Archives: August 2012
Why I Prefer General Anesthesia
Posted on: August 31, 2012
There are breast reduction surgeons who will perform breast reduction surgery for San Francisco Bay Area women under local anesthesia with intravenous sedation. I am not one of them.
My main goal is the safety and comfort of the patient. I employ a Board Certified Anesthesiologist, Randy Gaynor, M.D., to administer general anesthesia and monitor my surgery patients, allowing me to concentrate on the surgery. With the patient asleep under a general, I do not need to worry about the patient moving around or being uncomfortable as it can be difficult to control pain under local anesthesia.
For reduction mammoplasty patients whose concerns are general anesthesia risks and nausea after surgery, there have been tremendous advances in recent years making those issues a thing of the past. General anesthesia is safe, easier on the patient, and it reduces the amount of time in surgery.
Loss of Nipple Sensitivity with Breast Reduction Surgery?
Posted on: August 17, 2012
As stated previously, with any surgery comes the possibility of risks and complications. With breast reduction surgery is the risk of loss of nipple/areola sensitivity and in some cases, may cause more sensitivity to the point of discomfort. Total loss is not common, affecting around 5% to 15% of women, with many regaining sensitivity within a few weeks to a few months.
Women with very large breasts, may need a “free nipple graft” to be done. This is where the nipple is removed and then reattached as a skin graft making the loss of sensation expected. With other reduction mammoplasty procedures such as the inferior pedicle technique, also known as the inverted T or anchor, the nipple/areola remains attached, and sensation is usually preserved.
It is important for women to determine if the benefits outweigh the risks. For the majority of San Francisco Bay Area women, the relief from no longer having large breasts is well worth it.