ProNox Des Moines | Laughing Gas Iowa ProNox Des Moines | Laughing Gas Iowa

ProNox

What is ProNox?

ProNox is a device that administers “laughing gas” in an inhaled mixture of 50% Oxygen and 50% Nitrous Oxide.  The device is used to reduce anxiety and discomfort during in-office procedures, and it can be used in conjunction with local anesthesia.  It is inhaled using a mouthpiece, delivered to the lungs, and then exhaled.  It does not cause people to fall asleep.  Instead people are awake during their procedure, but they have very little anxiety or discomfort.  During the procedure, you would take several breaths through the device and feel the relaxing effects in less than a minute, and these effects would last approximately 5 -10 minutes.  If you start feeling anxious or uncomfortable, you would inform the team, who would take a break for a few seconds while you take several more breaths.  Once you reach the perfect state of relaxation the procedure would resume.  In this way, it is controlled and regulated by the patient in order to achieve the optimal level of relaxation for each specific person.

Which procedures can be done with ProNox?

Pronox can be used with a variety of procedures in plastic surgery, both in the office and in the operating room.  It can be used with simple procedures such as Botox Cosmetic and filler injections, as well as skin resurfacing treatments, including laser resurfacing, chemical peels, and micro-needling.  It can also be used with more involved procedures such as blepharoplastyfat graftingfacelift and scar revision, among others.

Is ProNox Safe?

Nitrous Oxide has been used safely for decades during dental procedures, and is frequently termed “laughing gas”.  It is a non-addictive, non-sedating, and not messy.  When used occasionally for medical purposes, it is not thought to have any long-term side effects.  For example, this system is currently being used in labor and delivery units, without any adverse effects for mother or newborn.  Some short-term side effects include headache, nausea, or a room spinning sensation.  Fortunately these effects are uncommon, mild and short-lived.  One of the benefits of this system is a rapid onset of action, which means that it takes effect quickly.  Similarly, once the procedure is finished, its effect wears off within minutes.

Why Choose ProNox?

Sometime people are very interested in a procedure, but are dissuaded by a fear of needles, a fear of discomfort, or a fear of medical offices in general.  With ProNox, these fears don’t seem so big.  Often one of the most unsettling things about surgery is a fear of general anesthesia.  Similarly, some people cannot undergo general anesthesia due to medical problems.  ProNox is one way to avoid general anesthesia for certain procedures.  ProNox also helps avoid other shortcomings of general anesthesia such as grogginess, GI upset, downtime, expense and inconvenience.  Because its effects wear off so quickly, people may drive themselves to and from their procedure.  And perhaps most importantly, ProNox is patient- controlled.  This means that you have control over your level of relaxation during the procedure, so you can be as alert or relaxed as desired.

What Does PRO-NOX™ Do?

PRO-NOX puts you, the patient, in the driver’s seat. You control the amount of analgesia. During your treatment, you determine the amount of pain relief you need as you hold on to the disposable mouthpiece and hose as you breathe the nitrous oxide. It’s similar to what you might have used in the dentist’s office to reduce a case of the nerves and pain, but it’s also different because with PRO-NOX you control how much you breathe in.

You know your body and your pain threshold better than anyone, and we love PRO-NOX because you can effectively control how much (or little) pain relief you need.

The best part of PRO-NOX is that within five-10 minutes, there is no trace of the chemical in your body. This means you can safely return to your activities and drive with no risk.

We find that many of our patients are anxious before treatments. While many of these procedures are non-invasive, they can be painful. Sometimes they opt out, and sometimes they choose narcotic pain medications. With PRO-NOX, you aren’t dealing with meds that interrupt your day and make it so you have to have a driver bring you and take you home from the office.

Here are the PRO-NOX benefits:

  • You self-administer it
  • Quick onset – takes effect in seconds
  • Immediate relief from pain and anxiety
  • Short duration – can return to activities
  • No oral pain medications or narcotics
  • Ideal for aesthetic procedures

Pro-Nox

What Treatments Could I Use Pro-Nox For?

Basically, you can use PRO-NOX for any treatment that you find painful. More specifically, we think our patients will appreciate PRO-NOX during the following:

  • Injectables and Fillers such as BOTOX Cosmetic and Juvéderm products
  • Laser Lift
  • Laser Treatments – this may include laser hair removal, fine lines and wrinkles, anti-aging, brown spots, rosacea, scarring, sun damage, redness, skin rejuvenation, pigmentation, and more.

Be sure and talk to our skin care staff about the opportunities for using PRO-NOX instead of pain meds.

PRO-NOX™ Benefits Just for You

We are thrilled to offer our patients the PRO-NOX system in our complete repertoire of services. Our goal is always to provide you the best experience and improve your overall satisfaction. Please be sure to ask us about PRO-NOX when considering your next cosmetic treatment.

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A tummy tuck can address both the upper and lower abdomen. It’s important to note that tummy tuck surgery is not a substitute for conventional weight loss. The best candidates will already be in good health and physical shape before electing surgery.




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The goal of tummy tuck surgery is to redefine and reshape the abdomen through the removal of excess skin and fat and tightening of abdomen muscles.

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Localized fat deposits around your midsection
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A flat and well-toned abdomen is something many of us strive for through exercise and weight control. Sometimes these methods cannot achieve our goals.

Even individuals of otherwise normal body weight and proportion can develop an abdomen that protrudes or is loose and sagging. The most common causes of this include:

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A tummy tuck, also known as abdominoplasty, removes excess fat and skin and restores weakened muscles to create a smoother, firmer abdominal profile.



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In 2019, the Tummy Tuck (abdominoplasty) procedure was the 5th most performed cosmetic surgical procedure performed on females in the US.
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Dr. Robbins is Iowa’s only quadruple board certified plastic surgeon and each year performs 5x more breast augmentation procedures than the national average.

We offer complimentary consultations where you can meet with Dr. Robbins and the Des Moines Plastic Surgery team. Consults involve learning more about the procedure you’re interested in, determining if you’re a candidate, and going over results and expectations.

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Consultation: the first step.

Many women start their surgical journey by talking to a friend or a relative who has already had a breast augmentation. While these are all good places to start, your most valuable resource is a personal consultation with a plastic surgeon.

A consultation doesn’t take long, and with an expert’s opinion, you’ll be better able to understand the benefits, risks, and discover which implant options are best for you and your body.




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What LOOK can Natrelle® implants give you?
Your surgeon can help you choose the best option based on your needs, wants, unique body structure, and more. Natrelle INSPIRA® Breast Implants are designed for a full look—especially at the top. Keep in mind that choosing the right implant for you is more than just deciding on size.





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Should you request a certain bra size?

Believe it or not - no!

Surgeons talk size and projection when it comes to selecting implants. Breast implant size is actually measured in cubic centimeters (cc), not by bra cup size. The larger the implant, the higher the number of cc.

Projection refers to the side profile or the distance that the implant projects from your body.

The amount of volume (cc) and the degree of projection you and your surgeon select will depend on your body type and the shape and fullness you want.





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What does GUMMY feel like?

All Natrelle INSPIRA Breast implants are soft, with varying levels of gel squishiness. When you go gummy, you don’t have to sacrifice implant softness. The best way to determine softness is to feel each implant during your consultation.





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What does GUMMY mean?

Gummy describes the consistency of silicone gel in Natrelle INSPIRA Breast Implants.

This gummy-like gel sticks together and has a tendency to hold its shape.

Each implant in the INSPIRA collection has a different level of cohesivity, or what surgeons refer to as gumminess.




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