The type of anesthesia chosen is largely dependent on the nature of the treatment and can be clarified by your surgeon during the consultation. Major surgeries such as rhinoplasty, abdominoplasty, and breast augmentation typically call for general anesthesia, while less invasive procedures are done under local anesthesia or mild sedation. During your consultation, your doctor will fully explain your options so that together you can make the best decision for your needs. The doctor will also go over all possible risks and complications for each type of anesthesia.

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Who Administers Anesthesia?

At PPSD, Noah Smith, our Certified Registered Nurse Anesthetist, under the direction of our plastic surgeons, administers anesthesia. He brings vast experience to our practice and is diligent and prepared for any and all anesthesia situations that may arise.

Anesthetists are trained to carefully monitor the body’s breathing and vital signs during surgery, and are also experienced at comforting those patients who may feel anxious about “going under”. PPSD provides the highest quality of care before, during and after your surgery.

What Are The Different Types Of Anesthesia?

General Anesthesia

This is the most complete form of pain prevention where a patient is completely unconscious during surgery. General anesthesia is typically administered during lengthy major cosmetic procedures, usually those performed on the abdomen, face, neck, or chest. This type of pain control carries the most risks, including increased blood pressure or heart rate, although these are meticulously monitored by the anesthetist. After surgery you will be monitored in our recovery room by a registered nurse until you meet our discharge criteria.

Local Anesthesia

Local anesthesia is given to numb a certain area of the body while the mind stays conscious. Most people are familiar with this form of anesthesia from visiting the dentist.

It is usually administered as an injection of lidocaine, epinephrine and sodium bicarbonate, but may also be applied as a topical ointment, cream or spray. Effects last around 2 hours.


Administered intravenously or by swallowing a pill, sedatives reduce consciousness and leave you feeling sleepy and relaxed. Typical sedatives include lorazepam, valium, xanax, versed and fentanyl.

Many times doctors will combine sedatives with other forms of anesthesia in order to relieve anxiety. Sedation can be light, moderate or heavy, depending on the nature of the procedure.

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Risks and Complications

Today, anesthesia is considered one of the safest fields of medicine, thanks to continuing improvements in formula, equipment and technique. However, remote risks such as stroke, heart attack, nerve damage, pneumonia and death do exist and every patient should be aware of them.

Factors That May Increase Your Risk Of Complications Include…

  • A family history of anesthesia allergies
  • Smoking or heavy drinking
  • Obesity
  • Hypertension
  • Seizures

How Can I Minimize These Risks?

  • Discuss all your options thoroughly with your doctor.
  • Be sure to disclose your full medical history and list of allergies to your doctor. Leaving out a critical piece of information can mean the difference between a pleasant experience and a potential complication.
  • Follow your doctor’s instructions regarding abstaining from food prior to surgery. Failing to do so can lead to serious consequences, such as aspiration pneumonia or even death.
  • Herbal formulas, vitamins and supplements should also be avoided for several weeks before your procedure, as some of these can react negatively with anesthesia.
  • Take the medicine you are instructed to take prior to surgery; stop the medicine you are instructed to temporarily hold prior to surgery.
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974 SouthPoint Road, Suite D
Belmont NC 28012

Phone: 704-755-8020

Fax: 704-755-8021


5815 Blakeney Park Drive, Suite 100
Charlotte, NC 28277

Phone: 704-542-2220

Fax: 704-542-3304


309 S. Sharon Amity Road, Suite 200
Charlotte, NC 28211

Phone: 704-344-8846

Fax: 704-344-9844


7476 Waterside Loop Road #600
Denver, NC 28037

Phone: 704-601-4381

Fax: 704-822-5997

Forest City

651 Withrow Road
Forest City, NC 28043

Phone: 828-288-1204

Fax: 828-288-1205

Gastonia/937 Cox Road

937 Cox Road
Gastonia, NC 28054

Phone: 704-898-8014

Fax: 704-898-8018

Gastonia/959 Cox Road

959 Cox Road
Gastonia, NC 28054

Phone: 704-866-7576

Fax: 704-866-0106

Hickory/Tate Blvd. Building 100

315 19th St. SE, Building 100
Hickory, NC 28602

Phone: 828-325-9849

Fax: 828-325-9879

Hickory/Tate Blvd. Building 200

315 19th St. SE, Building 200
Hickory, NC 28602

Phone: 828-328-3500

Fax: 828-328-8777


13539 Reese Blvd W.
Huntersville, NC 28078

Phone: 704-892-4878

Fax: 704-892-7453


105 Delta Park Drive
Shelby, NC 28150

Phone: 704-484-0464

Fax: 704-482-0308

Map of Locations

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