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For any plastic surgery procedure, there is no need for you to be in excessive discomfort or pain. The avoidance of pain, its relief and general anaesthesia (where appropriate) are vitally important in plastic surgery. This not only relates to the procedure itself but also the period afterwards. Mr Pacifico strives to ensure that you are in the minimal amount of discomfort for any procedure he may be performing – from non-surgical rejuvenation procedures to the most complex facelift or breast reconstruction.

The term anaesthesia (or anaesthetics) refers to a combination of the relief or prevention of pain and sedation.  It may be broadly divided into local anaesthesia (where you are awake) or general anaesthesia  (with you asleep). However, sometimes procedures may be performed under a combination of sedation and local anaesthesia (so-called twilight anaesthesia).

Local anaesthesia

For smaller procedures, pain relief is given in the form of a local anaesthetic, usually as an injection (just like at the dentist). This is administered by Mr Pacifico himself and the injection is given at the site of the surgery. The local anaesthetic takes a few minutes to take effect. Once working, it freezes the area preventing any pain from being felt, but it may still allow some sensations of pushing and pulling. The local anaesthetic usually lasts for a few hours before normal sensation returns. Therefore, it is often a good idea to take some tablet pain killers (such as paracetamol) when you get home to ease any discomfort that may occur when the anaesthetic wears off.

General anaesthesia

For more involved surgical procedures, a general anaesthetic is required. This is always administered by a consultant anaesthetist. Mr Pacifico works closely with a first class team of anaesthetists, experienced in anaesthesia for aesthetic and reconstructive surgery, who always ensure the highest standards of care.

Your safety during surgery is paramount, therefore, should you need a general anaesthetic, you may need to be reviewed in the hospital prior to the date of surgery by the pre-assessment team. They will liaise with the consultant anaesthetist regarding any findings and relevant blood tests. You will also be seen by the consultant anaesthetist prior to surgery. If you are generally fit and well, and the procedure is not considered extensive, you will be seen on the morning of surgery (or around midday if you are on an afternoon operating list). Otherwise, it may be necessary to organise an appointment prior to the date of surgery.

Your consultant anaesthetist will see you through the operation itself, care for you throughout the procedure and into the recovery period. They will also optimise your pain relief and comfort after surgery. He or she will also be on hand should any emergency treatment be required to maximise your safety.

If you are having a general anaesthetic you will need to be fasted (have no food) for 6-hours before the procedure. That often means nothing after midnight from the night before surgery, but if you are on an afternoon operating list, you may be able to have a light early breakfast at 6am.

Your medication

Please continue to take your usual medication unless instructed otherwise. An exception to this will be blood thinning drugs, such as aspirin or clopidogrel. Please discuss with Mr Pacifico what instructions need to be followed if you are on any blood-thinning agents.

For further information about the anaesthesia related to a particular procedure, please refer to theindividual procedures.

Another useful link to visit is the Royal College of Anaesthetists

Client Testimonial

My decision to have breast reduction surgery has been a life changing experience for me, as for the last two years I had noticed that my breasts were getting larger (even though I had lost over a stone in weight) and one noticeably more than the other.  This was having…

Liz I - Breast reduction

Having surgery is something I've wanted and been considering for a number of years.  When I decided to finally bite the bullet, I had to start looking for a suitable surgeon.  After doing some research and speaking to a number of sources, I had Marc Pacifico recommended.  Marc made me…

Jessica T - Correction of Tuberous breasts

A year has gone by since my Breast Implant Surgery and I would like to say a big thank you to Marc who has totally changed my life.  I wouldn't hesitate in recommending Marc as my experience from the very first Consultation to my last aftercare appointment was superb.  Marc…

Lauren H - Breast enlargement

The results of 2 children and breast feeding.  My breasts were a 34B and very empty with a bit of a droop, and I wanted to have back what I was like when I was breast feeding (a full C cup).  Mr Pacifico advised me to have an uplift as…

Nicky - Breast uplift and augmentation

You have really transformed my life and I am very grateful to you and you are now officially my hero.

MS - Breast Augmentation

The whole team: from the amazing secretary to the super duper Mr Marc Pacifico.  I had life changing breast enhancement in Tunbridge Wells.  The team there were great too but from the initial consultation right through to the after care, Marc and his team have been honestly fantastic.  I would recommend…

Lorraine B - Breast enlargement

From my first consultation with Marc I felt I would be in safe hands and I have been.  I had a full abdominoplasty along with breast augmentation-mastopexy at the same time.  I returned to work three weeks after the operation.  My breasts look and feel completely natural, I actually forget…

Vanessa P - Augmentation-mastopexy (breast lift and enlargement) and abdominoplasty (tummy-tuck)

My operation was very successful and was exactly what I wanted.  I found Mr Pacifico to be very professional, competent and understanding.  Mrs Ireson was very efficient, friendly and pleasant, and the nursing staff kind, attentive and helpful.

Mr P - Gynaecomastia surgery

From the moment I walked in for my first consultation Mr Pacifico made me feel at ease with his friendly and professional manner, telling me about the pros and cons of what I was to expect during surgery.  I was confident I had chosen the right surgeon and I was right :)…

Polly M - Rhinoplasty (nose job)

I would say to anyone who is considering surgery - Do it now! Marc Pacifico was recommended to me by a friend who had recently undergone breast surgery.  Having breast fed two children over twenty years ago, my breasts had sagged considerably and age had not helped.  After reading through Marc…

Tracey A - Breast Lift (Mastopexy)

I could not have hoped for a better result, and I am surprised at how quickly everything healed without any problems at all.  I am so happy that my breasts now look just as they did before I breast fed three children, and they look and feel natural.  I feel…

MS - Breast augmentation

He's been fabulous from start fo finish - great to deal with, professional but also really approachable.  He's clearly a very talented surgeon and I'm really really pleased with the end result - everything I wear feels so much nicer and fits so much better.  I haven't had to buy…

Mrs T B - Augmentation-Mastopexy

A couple of years ago my health hit a bump in the road.  Anyway without boring you with the details, I'd gained weight and was left feeling frumpy, bumpy and lumpy and inside I was miserable!  I had to do something about it and so started researching my options.  With my…

Mrs P - Liposuction to thighs and upper blepharoplasty

I have rated Mr Marc Pacifico as above because of the overall excellent experience and result. I located him through internet research. The whole experience from my first consultation to the post operative appointments have been excellent. I found Mr Marc Pacifico very professional and friendly. He explained the procedure…

BD - Abdominoplasty

I researched on the net (which is why I thought it important to write a review so others can share my experience) and then attended one of his information evenings. I had the surgery at The Spire Hospital in Tunbridge Wells. I have written a diary of my experience which…

JD - Neck lift

My wife had her "bingo wings" done on 10/12/12 by Mr Pacifico at the Chaucer Hospital (Canterbury).  The appointment before where all things are explained, the care during the operation and  the care after surgery was top class! I would highly recommend Marc Pacifico for this operation - full marks…

MS - Brachioplasty

I found him on the Internet after extensive research into the best surgeon within the south of England. I was willing to travel anywhere to get the best care. After all elective or not surgery is a big decision. I was very lucky to come across him. From start to…

Highly recommended - Breast Augmentation

I contacted the McIndoe Surgical Centre due to it's excellent reputation and experience in plastic surgery. Mr Pacifico was put forward by them as the right surgeon to discuss a complex nose problem. Nose Reconstruction (Open septorhinoplasty & Tutorplast graft) After two NHS operations on my nose by ENT surgeons…

JC

I met with Mr Pacifico to find out about the procedure. He was very honest and caring from the first consultation, explained everything there was to know and made me feel very at ease. The procedure was as I expected, and the after care was amazing. With all the advise,…

Win

I decided a couple of years ago to enter the, what I thought, unreal world of cosmetic surgery.  I have never had a tattoo, my ears pierced or anything else I would shudder at - so how desperate was I when I signed up for a lower face and neck…

Jane