We have found that hospitals are often insensitive to the needs of aesthetic surgery patients. Our goal is to perform anesthesia in a safe environment whereby the patient is free of pain and breathing on his/her own. The advantages of intravenous sedation and local anesthesia include the convenience to our patients whose surgery is performed in an office operating room setting, Moreover, there is continuity of care whereby the same personnel see the patient preoperatively, intraoperatively, and postoperatively providing, personalized attention.. We have also noted that patients who return for other surgeries prefer intravenous sedation with regional block over general anesthesia, which requires hospitalization with a longer recovery time as well as a higher incidence of postoperative nausea. We have not seen any cases of deep venous thrombosis or pulmonary embolus. The incidence of infection is lower additionally since there are no hospital-acquired infections.
There is obviously a considerable economic benefit since hospital operating rooms are there fo a profit while the Eisemann Cosmetic Day Surgery Center is not a profit center but exists as an accomodation to patients who prefer intravenous sedation and regional anesthesia. Nearly all head and neck surgeries include facelift, blepharoplasty, and rhinoplasty as well as breast augmentation and breast reduction and abdominoplasty with liposuction can be performed safely and comfortably under intravenous sedation and regional block/local anesthesia