There are grades of pain as determined by the medical community 0: no pain; grades 1-3; mild pain; grades 3-5 moderate pain; grades 5-7: more severe pain; grades 7-9: severe pain; and 10: severe pain. The vast majority of plastic surgeries are at about a 3 level of pain. So let’s all join me in learning more about the medical knowledge associated with anesthesia! Is anesthesia just a shot and a nap? No, it’s not. Anesthesia is not as simple as we think, on the surface is to give some drugs, let the patient sleep, pain-free surgery; in fact, the operation to protect the safety of patients, so that patients can quickly fall asleep, pain-free, but also quickly awake, is the anesthesiologist’s most important work. The angel under the shadowless lamp, the guardian of life, is the real portrayal of anesthesiologists. Only small surgery, no small anesthesia! What kind of plastic surgery needs anesthesia? Usually plastic surgery with anesthesia for local anesthesia and general anesthesia; some minimally invasive cosmetic way generally choose local anesthesia in the table anesthesia or no anesthesia, because for these virtually painless cosmetic surgery can not be used at all! General anesthesia General anesthesia is suitable for long procedures. General anesthesia is the use of anesthetics to act on the central nervous system (brain and spinal cord), so that it is inhibited, presenting a loss of consciousness, the whole body does not feel the pain of a kind of anesthesia, can be divided into inhalation anesthetics and intravenous anesthetics. Advantages: the patient completely loses consciousness and pain during the operation, and the operation is completed unconsciously in “sleep”, with a high degree of comfort. Disadvantages: the use of complex and diverse drugs, the requirements of higher monitoring. Local anesthesia Local anesthesia is suitable for small trauma surgery. Local anesthesia is the local anesthetic applied to the local nerves around the injection, only produce a certain part of the body anesthesia, so that this part of the body can not feel the pain. It is the most commonly used anesthesia for cosmetic surgery, including surface anesthesia, local infiltration anesthesia, regional block anesthesia, nerve block anesthesia, local intravenous anesthesia and intramedullary anesthesia. Advantages: compared with general anesthesia, it is easy to operate, safe, fewer complications, faster postoperative recovery, and the doctor and patient can communicate directly during the operation. Disadvantages: strict requirements on the patient’s own condition, the anesthesiologist’s experience is more demanding. How to use good anesthesia for these plastic surgeries? Double eyelid surgery: local anesthesia Rhinoplasty: local anesthesia or general anesthesia Zygoma grinding: general local anesthesia, according to the patient’s situation can choose other ways Grinding jaw angle: general local anesthesia Liposuction: local anesthesia, general anesthesia or nerve block anesthesia Breast augmentation: general anesthesia or thoracic spine anesthesia Facial laser treatment: epidermal anesthesia Facial submerged elevation: local anesthesia The anesthesia is not so terrible! Is general anesthesia harmful to the brain for facial plastic surgery? When it comes to anesthesia, many people are a little afraid, thinking that it is harmful to the human body, after all, it is a medicine that is three times poisonous, not to mention that it is injected into the human body to control the brain nerves. However, with the current countries around the world on the general anesthesia drug requirements are extremely strict, all the general anesthesia drugs on the human brain nerve inhibition are temporary, reversible. After plastic surgery, anesthetics will gradually be detoxified by the liver to reduce metabolism, part of the respiratory tract, digestive tract, urinary tract out of the body. And through a large number of clinical evidence, as long as the short-term has not been frequent anesthesia experience, a single anesthesia is not harmful to the brain, the damage to the human body is not even as big as drinking too much alcohol. Some people say that after waking up from plastic surgery anesthesia, they will have a sore throat, is this normal? In plastic surgery, many items require general anesthesia, and general anesthesia requires the placement of a breathing tube from the mouth to the larynx, so candidates will experience sore throat, dizziness, and other discomforts after recovering, and these are actually caused by the long duration of the procedure or not being operated gently enough. These can be alleviated by appropriate medication and are not harmful to the body in any way. How to ensure the safety of anesthesia? Plastic surgery involves the whole body, and the procedures are complex and varied, while the choice of anesthesia methods and the implementation of the use, monitoring and recovery are often different from ordinary surgeries, with their own inherent characteristics. However, as with any surgery, professional anesthesia is very important during surgery. Anesthesia reduces pain and avoids the fear of hearing the sounds of surgical instruments during surgery. Therefore, it is important to keep the major organs of the body in good functional condition before cosmetic surgery. Therefore, anesthesiologists must fully grasp the physical condition of the patient before anesthesia. First of all, it is necessary to ask the medical history of the candidate to see whether the candidate is a smoker, alcoholic, etc., and whether there is any history of drug dependence, addiction or allergy. Next, is to perform a physical examination of the candidate, focusing on areas and organs that have an effect on anesthesia. Finally, there is also a need to do some auxiliary examination of the candidate, combined with the candidate’s medical history and physical examination to do the necessary additional checks, general surgery should be done blood routine, bleeding time, clotting time, chest X-ray fluoroscopy, electrocardiogram and other routine checks; larger surgeries or surgeries requiring blood transfusion should be done to check the liver and kidney function, and so on. In addition, the psychological examination of the candidate is also very important. After all, all surgeries have a certain degree of pain, and the emotional state of the candidate will determine his or her pain tolerance. Keeping the patient in a good state of mind will not only help with pain relief, but also help the surgery go more smoothly. What you can’t do before anesthesia To prevent anesthesia accidents, it is routine to fast for 8 hours before anesthesia, and forbid drinking water for 4~6 hours, except for outpatient local anesthesia surgery, which should be strictly adhered to. Tips Plastic and cosmetic surgery is the icing on the cake of surgical procedures, if you have a fear of surgery, sedation anesthesia is a good choice. It is performed while you are in a state of quiet sleep. You wake up from a nap and the procedure is performed. There is no intubation, just the right amount of sedative and analgesic medication in the vein to keep the patient in a pain-free sleep state. With relatively little impact on the body, this type of anesthesia is a frequently used method of anesthesia in plastic and cosmetic surgery. Both sedation and general anesthesia require patients to fast for at least 6-8 hours before surgery.