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Modified Anesthesia Techniques for Cosmetic Surgery May Improve Safety

There is an increasing tendency for plastic surgery teams to electively administer slightly lighter forms of anesthesia which provide patient comfort and pain-free procedures. By not using general anesthesia which often includes total muscle paralysis, the possible pooling and clotting of blood in the veins of the lower extremities is probably reduced when a patient maintains some minor muscle tone and movement.

This may offer a huge safety advantage by significantly reducing the chance for blood clots in the legs that can be carried to the lungs. Although the incidents of blood clots and lung complications is extremely low anyway, any incidents would be devastating. This complication is one of the feared events in elective surgery, and any chance to reduce the possibility should be exercised when possible.

We believe that our approach to customized anesthesia has successfully prevented this complication.

About Dr. Lewis Friedlander, M.D.

Dr. Lewis Friedlander, M.D. has been practicing plastic surgery since 1995. One of his great teachers, Dr. Ralph Millard, M.D., who passed away in 2011, referred to Dr. Friedlander as one of the toughest and most determined surgeons he has ever met. Dr. Millard believed that Dr. Friedlander took excellent care of patients. Dr. Friedlander is a member of The D. Ralph Millard plastic Surgery Society & Educational Foundation and did additional fellowship training in breast surgery in Atlanta, GA, and orbit surgery. He has also worked with medical students from local medical schools and been given the appointment as clinical assistant professor of surgery and plastic surgery. Dr. Friedlander's background and additional certification in emergency medicine and trauma has given him the ability to insure the safest environment for performing surgery.


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