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AWAKE FACELIFT - Going Under Without "Going Under"
Tumescent Anesthesia Provides A Safer Facelift

LOS ANGELES, CA - In a town where time is money, the down time of the common facelift is changing its face once again. A new medical procedure called "The Awake Facelift" offers patients the opportunity to save both time and money without compromising safety or aesthetic result. Oculofacial plastic surgeon Dr. Jonathan Hoenig recently introduced his latest surgical innovation, "The Awake Facelift," combining the concept of tumescent anesthesia with his advanced skills in facelifting. With this revolutionary method, facial surgery can now be safely performed in the office operating room, eliminating the costs for an outside surgery center and anesthesiologist, and saving thousands of dollars. And with less bleeding and swelling, the patient is back to his or her daily routine with a new and improved look in less time than ever before.

Traditional facelifts are customarily performed under general anesthesia or deep sedation, requiring an anesthesiologist or nurse anesthetist to administer medication during surgery through an intravenous (IV) line. These are acceptable methods for some patients with significant medical problems, but the majority of patients do not require this heavy anesthesia. "We are slowly coming to realize that procedures like The Awake Facelift using virtually no anesthesia yield less bleeding and swelling, provide an overall faster recovery, and are much safer for the patients. With this technique, I use a fraction of the medicine that would normally be used with traditional anesthesia," remarks Dr. Hoenig.

Dr Hoenig is changing the way facial surgery is done by applying the technique of tumescent anesthesia (initially developed for liposuction) to procedures that were until now, only performed with stronger, riskier anesthesia. "Instead of sending heavy medication into the IV line to keep you asleep or sedated throughout the procedure, tumescent anesthesia uses only local anesthesia injected into the face to control pain, and Valium pills to comfortably relax you," says Dr. Hoenig. The term tumescent (meaning swollen or puffy) comes from the appearance of the area immediately after injection, before the medicine is absorbed into the surrounding tissues. The medicine that is injected is a solution of saline (salt-water), epinephrine, and Lidocaine. Saline helps to separate the tissues, making the dissection less traumatic for the face. Epinephrine causes the tiny blood vessels in the area to constrict, minimizing bleeding and bruising. Lidocaine numbs the area to provide pain control, similar to what the dentist uses before filling a cavity in a tooth.

"By applying the concept of tumescent anesthesia to facial surgery, the patient can have the procedure in our office suite which is an accredited AAAASF operating room," remarks Dr. Hoenig. The procedure is performed without heavy medication and without a long post-operative recovery. Most patients are comfortably and safely on their way home about an hour after surgery. Since most of the medication used with tumescent anesthesia in The Awake Facelift is eliminated from the body within a few hours, there is no "hangover" effect such as is often experienced after general anesthesia.

The Awake Facelift is the ultimate in facial plastic surgery where safety is the number one concern. Having the patient conscious throughout the procedure enables the surgeon to maximize the aesthetic result with the least risk of complications. Nerve function can be continually assessed during surgery by having the patient raise the eyebrows, smile, or perform other facial expressions. Checking nerve function is critical to avoiding the rare complication of facial nerve damage, but this important precaution is impossible using general anesthesia or heavy sedation.

Considered an expert in facial cosmetic and reconstructive surgery, Dr Hoenig has performed close to ten thousand procedures over the past ten years on the face alone. He has completed three separate fellowships to ensure that he is qualified to offer the most advanced techniques in facial surgery: cosmetic and dermatologic surgery, oculo-facial cosmetic surgery, and oculoplastic surgery. Dr Hoenig is one of the few cosmetic surgeons who is a diplomat of the American Society of Ophthalmic Plastic and Reconstructive Surgery (ASOPRS) and the American Board of Cosmetic Surgery, as well as board certified by the American Board of Ophthalmology.

Toll Free: 866-HOENIG-9 • Local Phone: 818-501-4550
Website: www.faceexpert.com • Email: Info@drhoenig.com

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