The authors present 25 cases and an in-depth 4-minute video of fully awake aesthetic breast reduction, which was made possible by thoracic epidural anesthesia. There are obvious and important advantages to this technique. Not only does this allow for intraoperative patient cooperation (i.e., patient self-positioning and opinion for comparison of breasts), meaning a shorter and more efficient intraoperative time, there also is a reduction in postoperative pain, complications, recovery, and discharge times. The authors have also enjoyed great success and no complications with this technique in over 150 awake abdominoplasty/total body lift patients. The authors feel that the elimination of the need for general anesthesia by thoracic epidural sensorial–only anesthesia is a highly effective and efficient technique, with very few disadvantages/complications, providing advantages to both patients and surgeons.
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From the Department of Plastic Surgery, Elisha Hospital.
Received for publication October 19, 2015; accepted June 23, 2016.
Presented in part at the International Society of Aesthetic Plastic Surgery Symposium, in Buenos Aires, Argentina, October 24 through 25, 2013.
Disclosure:The authors have no financial interest to declare in relation to the content of this article.
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Dr. Filson, 20 Harakefet Street, Atlit, Israel, firstname.lastname@example.org