A recent New York Times article (April 7, 2010) featured non-plastic surgeons who were doing breast augmentation with the patient only under local anesthesia. While this surgery can be done like this, there is no assurance the patient will be comfortable during the procedure.
In fact, this is the reason it is not a generally accepted practice, especially since the addition of intravenous sedation monitored by an anesthesia professional is both comfortable and safe. Most surgeons who advocate local anesthesia for major cosmetic procedures lack accredited facilities and hospital privileges for these procedures.
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