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.