Dr. Nadine Mirzayan

Hi dear. I don’t know of any surgeons who do breast augs under local only. But I’ve done many with local and some sedation, so you’re at least asleep. You don’t always need general anesthesia or a tube. I would go with whatever your surgeon is comfortable with and suggests for your particular case.

Here are some tips…
- don’t eat too much too fast and keep it light (BRAT diet) till you know you can tolerate foods
- if you’re really nauseous it might be the narcotic pain medicine. If you can and your doctor is ok with it consider substitutes like Tylenol or ibuprofen (definitely clear ibuprofen with your surgeon before taking it as it can increase bleeding)
- bubbly water
- medication called zofran or ondansetron that many surgeons prescribe
- Benadryl if you don’t mind the sleepiness… caution when mixing with pain medicines that make you sleepy.
- rest and time
- if it’s severe contact your surgeon

Yes any time of bowel surgery is done under general anesthesia. They need you to be relaxed to work in there. Best of luck on your surgery

I know this is an annoying answer but it really depends on what they’re doing to your shoulder. For example, I have only seen shoulder replacements be done under general anesthesia. Because of the position, you have to be in and the draping of the shoulder and several other factors, general anesthesia is best. Some smaller surgeries might be able to be done with just some sedation. You also do a nerve block and numb the shoulder and you feel little to no pain during and for several hours after surgery.

I would wait until the following day to drive when you can be sure the medication is out of your system. Be aware of any additional pain medicine you might need the next day after surgery as these too may impair your ability to drive.

Hi. It depends where you get it done. I work at a surgery center where they do Brest augmentations under local with deep sedation. Other places use general anesthesia. So may be best to ask your surgeon when you meet them. Either way if you’re 28 and healthy, I’m sure you’ll do great under any anesthesia ;)

Hi. You will need general anesthesia for this type of surgery. You will likely have to be positioned on your belly and since their working in such a sensitive area, best for you to be under general so you don’t move and risk injury. Best of luck to you!!!

Usually colonoscopies are done under sedation. Hopefully yours will be quick and easy. It’s not too uncomfortable so you will be ok. Best of luck!!!

Hi. I don’t think the anesthesia itself would cause insomnia. However in the days and weeks following a surgery, your body is going through a lot of recovery and changes. Some factors that might influence sleep would be: Pain, pain medications and other medications, stress and anxiety, maybe you’re in a hospital and getting interrupted for vital signs or treatment, noise, out of your own bed, etc. So trying to manage all these factors might be challenging, but do your best and it will resolve as your body heals.

Hi!!!

The nausea shouldn’t last beyond the day of surgery as the anesthesia drugs will wear off by next day. After that, nausea may continue from factors such as the type of surgery like if you had belly surgery or if you continue to take narcotic pain medicine. Some ways you can avoid the nausea on the day of surgery is that evening make sure to drink plenty of fluids, take pain medicine with food, and start eating slowly. I know we all want a hamburger after being forced to not eat for so long ;) but start with light foods (broth, toast) and see how you handle it and advance diet from there. If you need, your doctor can and probably will prescribe you antibiotics nausea medicine called zofran. I also find Benadryl to work for nausea, but it takes about 30 min to work and might make you sleepy, but it’s a great alternative if other things aren’t working.
Have a great surgery!!! Hope this helps.

Hi!!! Anxiety does not affect anesthesia. In fact, in my experience, 90% of people are anxious before surgery. It’s totally normal, so you’re not alone. And it’s our job as Anesthesiologists to make you feel safe and calm and comfortable. If you’re super anxious while going to sleep, it might take a little more medicine to get you to fall asleep, but that’s not a problem at all. Also I find sometimes, especially women, can have a little crying session after they wake up. I equate it to when a friend has a couple cocktails and end up sobbing to you… completely ok and kind of endearing. So you’ll be absolutely fine :)

General anesthesia can be managed with the patient in many different ways. Not paralyzed and actually breathing on their own, not paralyzed and Anesthesiologist or machine helps patient breathe, breathing tube with paralysis and machine or Anesthesiologist helping patient breathe. Either way, your Anesthesiologist will be right by your side until the medication wears off and you can breathe well on your own.

Tonsillectomies are done under general anesthesia with a breathing tube. Because of the location of where they will be operating, it’s safest to be able to control your breathing and also prevent any bit of blood from entering your lungs. Not to worry, the tube goes in after you fall asleep and comes out before you wake up so you shouldn’t even know it was there .