Under the muscle, still awake: a 300-patient series

Procedures · 2 min read

From 2010 to 2017, an Italian team reported 300 patients having primary sub-muscular breast augmentation under tumescent local anesthesia and conscious sedation.

Highlights: about 740 mL of tumescent solution per breast; no signs of adrenaline or lidocaine toxicity; conversion to general anesthesia never required; all patients reported no pain or discomfort during the infiltration and surgery in the authors’ report; major complications 3.3% (4 hematomas and 6 seromas) and minor 6.0%.

Reading it carefully: it is one experienced team’s series, not a trial, and the “no pain” wording is the authors’ report. Your experience can differ. That is why we talk about comfort, not guarantees.

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References

1. Bolletta A, Dessy LA, Fiorot L, Tronci A. Sub-muscular breast augmentation using tumescent local anesthesia. Aesthetic Plast Surg. 2019;7-13. PMID 29995233