Modified tumescent technique for outpatient facial laser resurfacing.
OBJECTIVE
The study goal was to retrospectively review the effectiveness of a modified tumescent technique to provide anesthesia for facial laser resurfacing in an office-based setting.


METHODS
The charts of 54 consecutive patients treated with facial laser resurfacing at a large outpatient clinic were retrospectively reviewed for type of intravenous sedation/analgesia, adequacy of anesthesia, complications, and discharge criteria. All patients were treated with a modified tumescent technique with or without intravenous sedation.


RESULTS
All patients tolerated the procedure extremely well. There were no anesthesia-related complications regarding loss of airway/airway obstruction, desaturation, or prolonged recovery periods. Several patients tolerated the procedure comfortably without intravenous sedation/analgesia.


CONCLUSIONS
The modified tumescent technique is a valuable method to provide patient comfort during facial laser resurfacing while reducing the risk for anesthesia-related complications.
Potter
Jason K
JK
Oral and Maxillofacial Surgery, University of Texas Southwestern Medical Center, Dallas, TX 75235-9109, USA.
Finn
Richard
R
Cillo
Joseph
J
D000368:Aged; D000369:Aged, 80 and over; D000556:Ambulatory Surgical Procedures; D000700:Analgesics / Q000627:therapeutic use; D000762:Anesthesia Recovery Period; D000772:Anesthesia, Local / Q000379:methods*; D018686:Anesthetics, Intravenous / Q000008:administration & dosage; D000779:Anesthetics, Local / Q000008:administration & dosage; D016292:Procedural Sedation / Q000379:methods*; D003869:Dermabrasion; D005145:Face / Q000601:surgery*; D005260:Female; D006801:Humans; D053685:Laser Therapy / Q000379:methods*; D008012:Lidocaine / Q000008:administration & dosage; D008297:Male; D008875:Middle Aged; D010100:Oxygen / Q000097:blood; D017060:Patient Satisfaction; D012189:Retrospective Studies
D000700:Analgesics; D018686:Anesthetics, Intravenous; D000779:Anesthetics, Local; D008012:Lidocaine; D010100:Oxygen