Nerve Block Des Moines | Anesthesia Iowa Nerve Block Des Moines | Anesthesia Iowa

Nerve Block

At Des Moines Plastic Surgery we strive to make your surgical experience one of satisfaction and comfort. Multiple types of anesthesia can be used for your procedure. In our facility, these include general anesthesia alone or general anesthesia in combination with regional anesthetic, also known as a peripheral nerve block.

WHAT IS A PERIPHERAL NERVE BLOCK?

Numbing medication is injected near a cluster of nerves to numb only the area of your body that requires surgery. This is called a nerve block. A nerve block can allow your surgery to be done with highly decreased pain after your procedure. Also with a never block, you will get the anesthetic benefits of less opioid (narcotic) use during your surgery while still experiencing general anesthesia in the operating room. Regional anesthesia will be offered on a specific breast procedures (breast augmentation, breast reduction, breast lifts) and tummy tucks. Regardless of what type of anesthesia you receive, there will always be a Certified Registered Nurse Anesthetist (CRNA) with you in the operating room (OR) to make sure you are safe and comfortable.

What are the benefits of regional anesthesia?

1. Faster recovery
2. Better pain control than opioid (narcotic) pain medications alone
3. Decreased need for opioid pain medications during and after your surgery, therefore less side effects which can include sedation, nausea, constipation, and itching
4. Pain relief for 24-72 hours after your surgery

Does it hurt to get a nerve block?

The types of never blocks provided in our OR are all placed after you are asleep with general anesthetic, but before your surgical procedure starts.

What are the risks of general anesthesia?

Like any other medical procedure, there are risks associated with general anesthesia. Complications or side effects can occur and can include infection, bleeding, damage to surrounding tissues including blood vessels or muscle tissue, reaction to the medication, or failure of the numbing medicine to have an affect.

Long-term or permanent nerve injury after a regional nerve block is rare and may occur in approximately 2 out of every 10,000 blocks performed. To decrease many of these risks, nerve blocks are typically placed in a sterile manner using an ultrasound machine to guide placement of the nerve block. The specific risks may vary with the particular procedure. You should ask your CRNA about any additional risks that may be associated with your particular anesthetic plan. You should also feel free to talk to Dr. Robbins and the CRNA about your options for anesthesia, pain control after surgery, their benefits and possible risks.

Nerve Blocks in Breast Surgery

One of the most exciting new concepts in plastic surgery has been the recent development of regional nerve blocks for breast and abdominal surgery. These blocks require ultrasound guidance to place and last approximately 6-8 hours after surgery. That means less pain and less narcotics in the early post-operative period which also translates into less nausea.

At Des Moines Plastic Surgery, we strive to provide the newest and latest techniques so our patients have the best experience possible.

What are Nerve Blocks?

Blocking the nerves involved in abdominal or breast surgery is done with the help of ultrasound guidance.

TAP Nerve Block

The TAP nerve block “is a peripheral nerve block designed to anesthetize the nerves supplying the anterior abdominal wall (T6 to L1).” What that means is that this procedure is used to stop the pain in the abdominal wall without introducing as much pain medication.  The anesthetic is placed between the abdominal muscles and the tissue on top of it.

PECS 1 and 2 Nerve Blocks

The PECS 1 and 2 nerve blocks are used to lessen the pain when the chest area is being worked on. Much like the TAP nerve block, the PECS 1 and 2 target the nerves between muscles that relay pain messages. Using the PECS 1 or 2 nerve blocks can allow for less pain medication following the procedures.

Being able to use these nerve blocks, TAP never block, PECS 1 and 2 nerve blocks, lets our patients use less medication during and after surgery. This can help decrease opioid use and nausea and vomiting that can occur after surgery.

If you want to learn more about how we use nerve blocks during surgery to make the experience better for our clients, please contact us for a consultation.

About TAP Block During Tummy Tuck Recovery

What is a TAP block?
A TAP or Transversus Abdominis Plane nerve block is an injection of local anesthetic (numbing medication) that provides pain control after surgery. The injection numbs the skin and muscles of the lower abdomen from the belly button to the upper thigh. The numbness usually lasts between 12-24 hours, however this can vary with each patient.

How is a TAP block performed?
The injection is performed in the operating room after you are asleep. The anesthesiologist uses and ultrasound machine to visualize the muscle layers of the abdomen and then injects anesthetic between the muscle layers. This medication numbs the nerves that supply sensation to the lower abdomen.

Which patients benefit from a TAP block?
Patients having lower abdominal surgery such as an abdominoplasty (tummy tuck) benefit from at TAP block.

Benefits of TAP Block
Patients that receive a nerve block require less anesthesia during surgery and less pain medication after surgery. As a result, patients have fewer side effects such as nausea, vomiting, constipation and feel more alert after surgery

Risks
This is a low risk nerve block. However, as with any injection, there is a small risk of bleeding, infection, injury to other structures and local anesthetic toxicity.

Other considerations
A TAP block is part of multimodel pain control and does not eliminate all postoperative pain. Depending on the type of surgery and each patient’s perception of pain, patients may still need additional pain medication after surgery.

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dsmplasticsurgery

In addition to being quadruple board certified, Dr. Robbins is also a member of the American Society of Plastic Surgeons.

The American Society of Plastic Surgeons (ASPS) is the largest plastic surgery specialty organization in the world. Founded in 1931, the Society represents 93% of all board-certified plastic surgeons in the U.S., and more than eight thousand plastic surgeons worldwide, making ASPS a global institution and leading authority on cosmetic and reconstructive plastic surgery.

The mission of ASPS is to advance quality care to plastic surgery patients by encouraging high standards of training, ethics, physician practice and research in plastic surgery. To support its members in the provision of excellent patient care, ASPS will provide: education, advocacy, practice support and enhanced public awareness of the value of plastic surgery, while fostering the highest professional, ethical and quality standards. The Society is a strong advocate for patient safety and requires its members to operate in accredited surgical facilities that have passed rigorous external review of equipment and staffing.
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Dr. Robbins is Iowa’s ONLY quadruple board certified plastic surgeon. Dr. Robbins believes not only experience but education are important for a successful medical practice. He is board certified by: •
* The American Board of Plastic Surgery
* The American Board of Facial Plastic and Reconstructive Surgery
* The American Board of Cosmetic Surgery
* The American Board of Laser Surgery

The decision to have cosmetic surgery is very personal, and you must feel comfortable with Dr. Robbins and staff. At Des Moines Plastic Surgery™, your consultation will include a discussion of the procedure, viewing before and after photos, and discussion of all the surgical options and potential risks. We want you to be completely informed and confident with your decision to have cosmetic surgery. We encourage you to consult with other surgeons and research credentials allowing you to make a more informed decision before choosing a surgeon.
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The American Board of Plastic Surgery (ABPS) is an independent, non-profit organization that is dedicated to promoting safe, ethical, efficacious plastic surgery to the public by maintaining high standards for the education, examination, certification and continuous certification of plastic surgeons as specialists and sub specialists

Part of being certified includes the Board requiring the candidate to have completed 5 years of progressive training in general surgery residency training, and a minimum of 3 years of Plastic Surgery Training.

When choosing a surgeon for cosmetic/plastic procedures, a certification from the ABPS ensures you are working with someone qualified for performing these procedures and ensuring the safest outcomes.

Dr. Robbins is certified by the following boards:
- The American Board of Plastic Surgery
- The American Board of Facial Plastic and Reconstructive Surgery
- The American Board of Cosmetic Surgery
- The American Board of Laser Surgery





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For more than 30 years, the American Board of Cosmetic Surgery (ABCS) has been dedicated to excellence in the medical specialty of cosmetic surgery and committed to providing the highest standard of care to our patients.

As the only certifying board that exclusively tests a surgeon’s knowledge and experience in cosmetic surgery, ABCS board certification is reserved for extraordinary surgeons who already possess at least one recognized board certificate, complete a comprehensive AACS certified fellowship training program in cosmetic surgery, and pass rigorous written and oral exams. In reality, many cosmetic or plastic surgeons do not qualify to take the ABCS board exam because of the very strict qualifications they must meet.

Dr. Robbins is Board Certified by the ABCS and has been since 2013.





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The American Board of Facial Plastic and Reconstructive Surgery, Inc.,® was established in 1986 to improve the quality of medical and surgical treatment available to the public by examining for professional expertise in facial plastic and reconstructive surgery.

To carry out this mission, the Board has established a mechanism for the education, qualification, training, review, and certification of surgeons specializing in facial plastic and reconstructive surgery.

To be eligible for certification, a surgeon must:

•Have completed a residency program approved by the Accreditation Council for Graduate Medical Education in one of the two medical specialties containing identifiable training in facial plastic and reconstructive surgery: otolaryngology/head-and-neck surgery or plastic surgery.
•Have earned prior certification by the American Board of Plastic Surgery in otolaryngology/head-and-neck surgery or plastic surgery.
•Have been in practice a minimum of two years.
•Have 100 operative reports accepted by a peer-review committee.
•Successfully pass an 8-hour written and oral examination.
•Operate in an accredited facility.
•Hold the appropriate licensure and adhere to the ABFPRS Code of Ethics.


Dr. Robbins is Board certified by the American Board of Facial Plastic and Reconstructive Surgery and has been since 2005. •




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The American Board of Laser Surgery (ABLS) was founded in 1984 by physicians, physicists and other medical practitioners from various fields who were experienced in the fundamental science and clinical applications of lasers. They shared a concern for the safe and efficacious use of lasers in medicine and surgery. They believed that the increasing complexity and utilization of lasers in treating patients had created a need for the establishment of key standards of knowledge, competence, and experience for those who used lasers in medicine.

Many individual physicians, hospital administrators, chairmen of credentialing committees, and other concerned persons expressed a desire for an organization that would fulfill these needs. In doing so, they recognized that lasers are sophisticated instruments requiring special knowledge and experience for safe and effective use in surgery and other medical procedures.

From the very beginning of the era of lasers in clinical use, iatrogenic, laser-related injuries and deaths were occurring among patients. This was the incentive for the founding of the American Board of Laser Surgery. Today, deaths are rare, but burns, complications and sub-optimal outcomes are still all too common.

The Mission of the ABLS is to educate and credential as many qualified laser and light practitioners as possible to ensure the efficacious and safe outcomes for patients.


Dr. Robbins is certified by the ABLS in Cosmetic Laser Surgery and has been since 2013.
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Enhanced fullness implants—our most popular choice—can give you a full look with roundness on top. As you consider your options, remember: Implant size, profile, and style all contribute to your end result. Natrelle® offers you more smooth gummy implant options than any other brand. From a little fullness to a lot, the choice is yours! ...

Looking to achieve a breast augmentation look that is not too dramatic? Natrelle® moderate fullness breast implants will give you a full look with slight roundness on top. ...

Not all women want a dramatic change. Some women just want a little shape without a lot of volume. The woman in the image above chose minimal fullness to help her achieve a small amount of fullness on top, for a subtle look. Natrelle® breast implants can help you achieve the look you want. From a little fullness to a lot, the choice is yours! ...

Easy online booking for both in-person and virtual consultations are complimentary and available with Dr. Robbins and the Des Moines Plastic Surgery team.

To schedule your free consultation visit our website or call 📱 515.221.9999 during business hours.




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Meeting Dr. David Robbins

This is the customer’s opportunity to ask any and all questions. It is also Dr. Robbins’ opportunity to ask you questions as well. Every conversation should be open and honest because surgery is a big deal and both parties involved want the best outcome with the best experience possible. You should be expected to talk about the following:

What you want to change about your body, and why you want to change it?
How you feel about your body now, and how you would like to feel after plastic surgery?
Your goals: what do you want to look like after surgery, what specific changes would you like to see?
Which procedure(s), if any, can help you achieve your goals?
What results you can expect from each procedure?
What’s involved in the surgery (anesthesia type, incisions, recovery timeframe)?
The risks and possible complications from surgery?
Review your medical history (be open and honest for your safety).




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When you are called back to begin your consultation appointment, you will first meet with a patient coordinator, who will review your medical history with you and help you get settled. Your patient coordinator is your liaison between you and the practice. They make sure your questions are addressed quickly as you consider your options before surgery as well as throughout your surgery and recovery process. They also help you with scheduling pre-op appointments, your surgery date, and post-op appointments.

Our front desk receptionist is also able to schedule pre-op appointments, your surgery date, and post-op appointments. The patient coordinator will credential the office and the staff, including Dr. Robbins, so that you have a good understanding of what sets Des Moines Plastic Surgery apart from other local plastic surgery practices.




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Once the customer feels comfortable with the information they have gathered, a consultation is scheduled by email or phone. Customers will always meet with Dr. Robbins and his Patient Care Coordinator for the initial consult.

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Before Scheduling A Consultation

We encourage customers to do research online, talk with family and friends and verify the plastic surgeon is board certified by the American Board of Plastic Surgery. Please visit our website for more information about the American Board of Plastic Surgery.

This often prepares the customer for the consult and makes them feel more comfortable with Dr. Robbins.




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A consultation is equal parts interview, learning experience, and time to see the possibilities of what cosmetic surgery can achieve for you. It’s a two-way conversation that should help you answer important questions:

Is cosmetic surgery the right option for me?
If so, which procedure or procedures are appropriate?
Who do I want to perform my procedure(s)?
Are the benefits worth the risks?
You get these answers by meeting with Dr. Robbins, a board certified plastic surgeon and his staff and asking more detailed questions. Expect each consultation to last from 30 minutes to 1 hour. It is important to remember you are consulting for elective cosmetic surgery, not covered by insurance.




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How Is The PRP Hair Restoration Procedure Performed?

A small amount of blood (10mL- about a tablespoon) is drawn in our office just like a routine blood test. The blood is then spun in a centrifuge which will separate the platelet-rich plasma (PRP) from the other blood components which are not utilized. The highly concentrated platelet rich plasma (PRP) is then injected into the scalp. An additional technique uses Microneedling or a Profractional laser to make microscopic entry points in the skin of the scalp. PRP is then injected into the scalp. The procedure takes approximately 30 minutes and the patient may drive themselves home. Early studies suggest that the procedure be repeated every three to six months for best results.





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PRP in the field of hair restoration is in its early stages and although no long term studies have been performed as it relates to its effectiveness, there is substantial evidence that PRP is a promising treatment option for hair growth. Extensive clinical trials are not complete and medical data is not yet published to establish the absolute effectiveness of PRP therapy in hair restoration. PRP should not be considered a “cure” for hair loss and no guarantee can be made about its individual effectiveness. The kits used to make the PRP are FDA approved. The kits are sterile and isolate the PRP in a very effective way.





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How Does PRP Hair Restoration Work?

Platelet rich plasma (PRP) in human blood contains many growth factors that stimulate stem cells which have the ability to stimulate new cell and tissue growth and regeneration as well as tissue healing in the environment or location that the PRP is placed. Multiple medical publications over the past two decades confirm the safety and use of PRP therapy. PRP has been used with great success over the past 20 years in the fields of plastic surgery, reconstructive and wound healing treatments, oral surgery, neurosurgery, and orthopedics.





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PRP as it relates to hair growth is an exciting new non-surgical option for patients who may benefit from stimulation of hair growth and preventing further loss. PRP hair restoration does not re-grow hair but uses your own blood products to increase hair thickness and stimulates existing hair follicles to grow and is best applied to small areas of thinning hair, receding hairlines, and loss of hair volume. PRP is not meant to replace FDA approved medications to prevent hair loss but may be used in addition to these medications or may be an option for those who wish to not take medications or have side effects from these medications. PRP will complement the effects of minoxidil and DHT blockers. PRP hair restoration is also a great option for those who are not candidates for surgery or who want to delay formal hair transplant surgery. PRP can also be used after Neograft hair transplant to improve graft survival and speed of growth as well as to help prevent ongoing hair loss.





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