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Indigo - USA surgeons MiGHT tell you that twilight sedation is evil for this surgery. I did several usa consults and only ONE of them would use it and he would only do it for shorter surgeries. He did however admit to me that he had is own shoulder operated on and that he was a huge believer in it from a patient perspective. My Mexican surgeon gave me his opinion on why usa docs are so against it - and his version it was not based on medical science but rather liability fears (ie anybody who does something off the normal track is vulnerable to lawsuits). I don't know, not a medical person, - just warning you that you may get an earful on that topic.

My basic opinion about surgeons is to pick one you trust, that has an outstanding track record for safety and results for a price you can afford (ie balancing act) and trust their judgement. Most of us aren't really educated enough to evaluate what they tell you....

I was hesitant about Dr S insistance on placing implants over the muscle. I heard once again all the evils of that but he explained to me again his reasoning and that he uses the Gummy implants. I had some angst over it, but mine turned out GREAT and the other patients I network with continue to have good long term results with low complications. AGain, what do i really know... but i just decided to trust him.

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Trust is crucial.

I am in the UK, so not sure yet what the approach to sedation is here. I will ask at the next consult. But you're right, it's hard to evaluate what we are being told. We just have to do the best we can with the info we have.

The surgeon I have been to see doesn't recommend implants for me. He's going to use the remaining fat in my breasts and reposition it when he does the reduction. So that's one less decision to make!

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