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It has been unequivocally clear to me that women prefer general anesthesia rather than a twilight anesthesia when undergoing a breast augmentation procedure. During my more than twenty two years of plastic surgery practice in the Scottsdale and Phoenix metropolitan area, countless patients that consulted me for their breast revision surgery have recounted their highly unpleasant and very painful experience of having their breast enlargement performed with only sedation and local anesthesia. Many indicated that they felt wide awake. Even 15 or more years later, they still vividly remembered their horrible experiences – not something the operating doctor should be proud of.

An overwhelming majority of board certified plastic surgeons perform breast augmentations, breast revision surgery and breast lifts using general anesthesia in certified facilities such as outpatient centers and hospitals, using anesthesiologists – doctors whose specialty is providing anesthesia safely and effectively. It is a far more pleasant experience and overwhelmingly safe given everything else being equal.

Furthermore, in most of the situations where the twilight anesthesia (sedation with local anesthesia) is used, it is administered either by the operating doctor, a nurse anesthetist, a standard nurse or even worse, one of the physician’s office employees and is performed in an office. Quite a contrast in terms of safety, quality, standards and experience!

To compound the issue, more than likely the doctor performing the cosmetic breast surgery in these situations is not a board certified plastic surgeon. They may be an obstetrician-gynecologist, general surgeon or even a family practitioner or internist.

Would you really want these individuals who have not undergone long and rigorous training like plastic surgeons do performing your surgery?

I don’t think so!

If you have any questions regarding anesthesia and breast augmentations, breast lifts or breast revisions or on any other plastic surgery procedure that I perform or if you would like to schedule a complimentary consultation with me, please call my office at 480-451-3000.

Steven H. Turkeltaub, M.D. P.C.
Scottsdale and Phoenix, Arizona

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A Message Regarding Coronavirus/COVID-19

In light of the coronavirus/COVID-19 pandemic, we would like to let you know of some of the major precautions we are taking in our office to maximize cleanliness and keep the environment as sanitary and safe as possible. Our highest priority is always to ensure the safety of every individual who sees us and we are taking extreme infection-control measures to maintain cleanliness and “sterility” of surfaces and the overall environment.

We will be limiting dates and times for office appointments and consultations due to safety and other issues. Consequently, if you have already made an office appointment or consultation prior to March 18, 2020 to occur at a later time, this may need to be changed.

For anyone considering plastic surgery, we are now offering Virtual Consultations and Telemedicine through Skype. A great number of aesthetic or insurance-related issues can be evaluated via pictures and online video conferencing, making this an excellent way to find out more about particular procedures, determine candidacy for treatment, receive answers to questions and facilitate being able to move forward with care once the government lifts all restrictions.

In an abundance of caution, we are asking all current patients who are experiencing a fever, cough, chills, fatigue or any type of respiratory illness to please delay any upcoming appointments at our practice. We can talk with you by phone or email to establish a new date and time for the appointment.

We are all in this together. Our team urges everyone to follow the guidelines recommended by local health authorities and the Centers for Disease Control and Prevention, which include frequent handwashing for a minimum of 20 seconds, social distancing, staying home if you are feeling sick, and contacting your healthcare provider if you feel you are experiencing symptoms.

For more information, please read our blog – Coronavirus and You: Important Information

For further updates, please check our blog.

If you have any questions or concerns, please contact us by phone or email.