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AWAKE FACELIFT - Going Under Without "Going
Under"
Tumescent Anesthesia Provides A Safer Facelift
LOS ANGELES, CA - In a town where time is money, the down time of
the common facelift is changing its face once again. A new medical
procedure called "The
Awake Facelift" offers patients the opportunity to save
both time and money without compromising safety or aesthetic result.
Oculofacial plastic surgeon Dr. Jonathan Hoenig recently introduced
his latest surgical innovation, "The Awake Facelift,"
combining the concept of tumescent anesthesia with his advanced
skills in facelifting. With this revolutionary method, facial surgery
can now be safely performed in the office operating room, eliminating
the costs for an outside surgery center and anesthesiologist, and
saving thousands of dollars. And with less bleeding and swelling,
the patient is back to his or her daily routine with a new and improved
look in less time than ever before.
Traditional facelifts are customarily performed under
general anesthesia or deep sedation, requiring an anesthesiologist
or nurse anesthetist to administer medication during surgery through
an intravenous (IV) line. These are acceptable methods for some
patients with significant medical problems, but the majority of
patients do not require this heavy anesthesia. "We are slowly
coming to realize that procedures like The Awake Facelift using
virtually no anesthesia yield less bleeding and swelling, provide
an overall faster recovery, and are much safer for the patients.
With this technique, I use a fraction of the medicine that would
normally be used with traditional anesthesia," remarks Dr.
Hoenig.
Dr Hoenig is changing the way facial surgery is done
by applying the technique of tumescent anesthesia (initially developed
for liposuction) to procedures that were until now, only performed
with stronger, riskier anesthesia. "Instead of sending heavy
medication into the IV line to keep you asleep or sedated throughout
the procedure, tumescent anesthesia uses only local anesthesia injected
into the face to control pain, and Valium pills to comfortably relax
you," says Dr. Hoenig. The term tumescent (meaning swollen
or puffy) comes from the appearance of the area immediately after
injection, before the medicine is absorbed into the surrounding
tissues. The medicine that is injected is a solution of saline (salt-water),
epinephrine, and Lidocaine. Saline helps to separate the tissues,
making the dissection less traumatic for the face. Epinephrine causes
the tiny blood vessels in the area to constrict, minimizing bleeding
and bruising. Lidocaine numbs the area to provide pain control,
similar to what the dentist uses before filling a cavity in a tooth.
"By applying the concept of tumescent anesthesia
to facial surgery, the patient can have the procedure in our office
suite which is an accredited AAAASF operating room," remarks
Dr. Hoenig. The procedure is performed without heavy medication
and without a long post-operative recovery. Most patients are comfortably
and safely on their way home about an hour after surgery. Since
most of the medication used with tumescent anesthesia in The Awake
Facelift is eliminated from the body within a few hours, there is
no "hangover" effect such as is often experienced after
general anesthesia.
The Awake Facelift
is the ultimate in facial plastic surgery where safety is the number
one concern. Having the patient conscious throughout the procedure
enables the surgeon to maximize the aesthetic result with the least
risk of complications. Nerve function can be continually assessed
during surgery by having the patient raise the eyebrows, smile,
or perform other facial expressions. Checking nerve function is
critical to avoiding the rare complication of facial nerve damage,
but this important precaution is impossible using general anesthesia
or heavy sedation.
Considered an expert in facial cosmetic and reconstructive
surgery, Dr Hoenig has performed
close to ten thousand procedures over the past ten years on the
face alone. He has completed three separate fellowships to ensure
that he is qualified to offer the most advanced techniques in facial
surgery: cosmetic and dermatologic surgery, oculo-facial cosmetic
surgery, and oculoplastic surgery. Dr Hoenig is one of the few cosmetic
surgeons who is a diplomat of the American Society of Ophthalmic
Plastic and Reconstructive Surgery (ASOPRS) and the American Board
of Cosmetic Surgery, as well as board certified by the American
Board of Ophthalmology.
dr. hoenig
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