AVAN TOKYO’s philosophy on anesthesia safety in cosmetic surgery

One of the most common concerns patients express during consultations is:

“I’m actually more afraid of the anesthesia than the surgery itself.”

This is especially true for more invasive procedures such as:

• Full body liposuction
• Hybrid breast augmentation
• Rib remodeling surgery
• Long-duration procedures

At AVAN TOKYO, we believe that:

“Surgical design and safety must go together.”

For that reason, we place significant importance not only on the surgery itself, but also on:

anesthesia management.

Rib remodeling is performed under general anesthesia

Rib remodeling surgery involves controlled reshaping of the ribs followed by corset fixation.

Therefore, the procedure is performed under:

general anesthesia.

At AVAN TOKYO, board-certified anesthesiologists work with us during every surgery.

In addition, to ensure immediate emergency response capability,

Dr. Shin personally performs airway intubation.

In cosmetic surgery, some clinics rely only on IV sedation.

However, for higher-risk procedures,

“Who is managing the anesthesia?”

is extremely important.

Anesthesia in cosmetic surgery is more complex than many people realize

Many patients imagine anesthesia as simply:

“fall asleep and wake up.”

In reality, anesthesia requires continuous monitoring of:

• Breathing
• Blood pressure
• Oxygen levels
• Circulation
• Airway stability

Factors such as:

• BMI
• Smoking history
• Asthma
• Sleep apnea
• Recent illness

can significantly affect anesthesia safety.

Anesthesia options at AVAN TOKYO

Depending on the patient and procedure, we carefully customize anesthesia methods.

Available options include:

• IV sedation managed by a board-certified anesthesiologist
• General anesthesia
• Awake liposuction using local anesthesia + nitrous oxide + pain control
• Combination techniques using inhaled anesthetics and lower-dose propofol

What is most important before surgery

At AVAN TOKYO, one of the most important aspects of anesthesia safety is:

accurate preoperative information.

We strongly ask patients to:

• Strictly avoid smoking before surgery
• Properly disclose medical history and medications
• Inform us about recent colds, COVID, or influenza
• Remove gel nails before surgery

These details directly affect patient safety.

Safety is the foundation of cosmetic surgery

In cosmetic surgery, people often focus only on the aesthetic result.

However, the true foundation is:

“bringing the patient home safely.”

At AVAN TOKYO, we aim to balance:

• Safety
• Anesthesia management
• Surgical quality
• Aesthetic design

through a highly controlled and medically focused approach.