On the day of your procedure, you’ll arrive at our office early to be greeted by a nurse. She will escort you to our pre-procedure room, and you will change into a clinical gown. Dr. Truswell will greet you and go over once again what to expect and review any last minute concerns you may have. You will also meet our anesthetist. We use monitored anesthesia care (MAC) for our procedures. MAC is used for extremity surgery, cosmetic facial surgery, and if you are familiar with it, routine colonoscopy.
The anesthetist will start an IV, administer medication, and your next experience is being wide-awake at the end of the procedure. Patients who have monitored anesthesia care do not experience nausea or vomiting. After a light snack and something to drink, you will be discharged.
The reason we choose this anesthesia is patient safety and comfort. Most facial plastic surgeons use either monitored anesthesia care or general anesthesia.
It is normal for patients to be anxious beforehand. Today many folks are on prescription medications. Relatively large volumes of local anesthetic are injected with epinephrine (adrenaline). This increases the heart rate and can be accompanied by cardiac rhythm disturbances. The anesthetist is trained in keeping the patient stable, safe, unawares throughout the procedure, and is trained in managing irregularities in blood pressure and heart rhythm. One of our guidelines is “Safety first!”