Aesthetic SurgeryBreast Augmentation Under General Anesthesia Versus Monitored Anesthesia Care A Retrospective Comparative StudyEldor, Liron MD*; Weissman, Avi MD†; Fodor, Lucian MD*‡; Carmi, Nurit PhD§; Ullmann, Yehuda MD*Author Information From the Departments of *Plastic and Reconstructive Surgery, and †Anesthesiology, Rambam Health Care Campus and Faculty of Medicine, Technion-Israel Institute of Technology, Haifa, Israel; ‡Department of Plastic Surgery, First Surgical Clinic, Emergency District Hospital, Cluj-Napoca, Romania; and §Bio-Technology Department, Tel Hai Academic College, Upper Galilee, Israel. Received July 24, 2007, and accepted for publication, after revision, September 24, 2007. Reprints: Yehuda Ullmann, MD, Department of Plastic Surgery, Rambam Health Care Campus, 8 Ha'Aliya Street, Haifa 35254, Israel. E-mail: [email protected]. Annals of Plastic Surgery: September 2008 - Volume 61 - Issue 3 - p 243-246 doi: 10.1097/SAP.0b013e31815bfe98 Buy Metrics Abstract Breast augmentation is one of the leading esthetic surgeries, enjoying high satisfaction rates. Pain, nausea, and vomiting are frequent shortcomings of the immediate postoperative period. The aim of this study was to compare breast augmentation from the anesthetic point of view: general anesthesia (GA) versus monitored anesthesia care (MAC). The charts of 115 patients were reviewed in this retrospective study performed over a period of 2 years. Sixty-nine women chose to have the surgery done under MAC, and 46 under GA. Statistically significant differences were noted in both postoperative hospital stay (16.1 ± 6.78 hours vs. 11.7 ± 6.10 hours) and frequency of vomiting (mean, 0.5 vs. 0.22 times per patient) after GA and MAC, respectively (Mann-Whitney, P < 0.01). Postoperative pain, assessed using the visual analog scale, was significantly higher (mean visual analog scale, 5 vs. 3.27) when the prosthesis was placed in the submuscular plane compared with the subglandular plane (Mann-Whitney, P = 0.043). When offered a choice, more women preferred MAC over GA for their breast augmentation procedure. Less vomiting and shorter postoperative hospitalization were prominent in the MAC group. © 2008 Lippincott Williams & Wilkins, Inc.