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Sherman Oaks / Encino Plastic Surgery Office

Dr. Jonathan Hoenig relocates his San Fernando Valley office, where he sees patients on Wednesdays. Click for new address info and directions.

The Beverly Hills office remains open Monday through Friday. Please call 866.HOENIG.9 (866.463.6449) to schedule your appt.


SKINCARE LINES RECENTLY ADDED
Apotek, Circadia, Dermaquest Skin Therapy, Hovans,
Hyalogic
, IS Clinical , LifeCell, LushBust, Relax Wax, Revaleskin

NuFace Microcurrent Toning Device

Following the natural contours of your face, NuFace delivers gentle micro current impulses to strategic locations diminishing minor lines and wrinkles, restoring the tone and facial muscles to a more youthful balance.

By increasing cellular blood flow, cell turnover is increased, leading to increased amounts of collagen, elastin, and connective tissue. NuFace assists with skin rejuvenation, delays aging of the skin, and reduces the appearance of facial wrinkling.

 
How often do you take vitamins?
Everyday
Once in a while
When I'm getting a cold
Never

All About Anesthesia

anesthesia quick glossary
what is anesthesia?
who administers anesthesia?

who gets what type of anesthesia?
local anesthesia: topical, cold, cream
local anesthesia: injection, tumescent, ring block, regional block
IV sedation / monitored anesthesia care
general anesthesia
stages of general anesthesia
preparing for anesthesia
anesthesia and herbal drug interactions
anesthesia and prescription drug interactions
post-anesthesia guidelines
anesthesia fees

Who Gets What Type Of Anesthesia?

There are three basic types of anesthesia: local anesthesia, monitored anesthesia care (MAC), and general anesthesia.

Local anesthesia numbs a small area or body part.

MAC, also known as IV sedation or twilight anesthesia, makes the patient sleepy and less responsive to pain.

And general anesthesia renders the patient unconscious, and therefore totally unaware of any pain.

Because cosmetic surgery is an elective procedure, and not a medical necessity (i.e. it won't save your life), it makes sense to operate only when the patient is healthy and has the least risk of complications.

After taking a thorough medical and surgical history, the surgeon may refer you to your regular doctor for a physical exam, lab tests, and medical clearance. Alternatively, the surgeon may elect to do the screening or deem further workup unnecessary for the type of procedure and anesthesia that you will be undergoing. For example, a simple procedure with local anesthesia can be safely performed on a healthy individual without a big medical screening, while a long, complicated surgery using stronger medications will require that more precautions be taken.

Most surgeons will have routine methods of anesthesia for each procedure. However, patient preferences, attitudes, and history definitely can contribute to the final anesthesia decision. Some patients want to be "asleep" and not hear or see anything, in which case general anesthesia or heavy sedation may be best. Others are terrified of "going under" or having a tube in their throat, and therefore general anesthesia is probably not the best option. Some patients have had reactions to certain anesthesia medications, and those must be taken into consideration, too.

A general rule of anesthesia is to use the least amount of medication that will keep the patient safe and comfortable.

Whether the decision is to use local, IV sedation, or general anesthesia, there are advantages and disadvantages to each one. If you have concerns about anesthesia, talk to your doctor about them so that you can work it out ahead of time and have a smooth, comfortable, and safe experience.

To Next Section - Local Anesthesia: Topical, Cold, and Cream

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Awake Face Lift Beverly Hills - Natural looking results with local anesthesia.