EP021 Breast augmentation using local anaesthetic with sedation produces low complication rates

<h3></h3> <b>Please confirm that an ethics committee approval has been applied for or granted:</b> Not relevant <h3>Background and Aims</h3> In 2013 the lead author started carrying out breast augmentation under local anaesthetic with sedation on a day case basis in a stand-alone ambulatory surgical centre. Subsequently a total of 7 surgeons have carried out breast enlargement at the clinic using this technique. A retrospective review of the first 1019 patients was performed. <h3>Methods</h3> Inclusion criteria for breast enlargement under LA with sedation was ASA 1 or 2 and BMI less than 32. The procedure was carried out using local anaesthetic infiltration with anaesthetist delivered conscious sedation using a combination of propofol and fentanyl and no airway management. Standard breast enlargement precautions were undertaken. Patients were contacted though Survey Monkey survey to determine satisfaction with the procedure. <h3>Results</h3> Average age of the patients was 32.7 years. 686 patients (67.3%) had had children. 897 patients (88%) were ASA 1. None were ASA 3. 132 patients (13.0%) were smokers. Average implant size was 380cc, 327 (32%) being anatomical and 692 (68%) round. 91 patients(8.9%) had submammary implants, the rest dual plane.In t Ierms of complications 32 patients had infections which generated a positive microbiology culture. These were mostly stitch abscesses, however, 9 patients had implants removed, washed and replaced. Subsequently 2 of these implants required removal and replacement some months later and a further 2 presented with capsular contracture years later. <h3>Conclusions</h3> Primary breast augmentation under local anaesthetic with sedation is a viable alternative to general anaesthesia. We found complication rates were low in comparison to studies quoting complication rates for general anaesthetic breast augmentation,