Local Anaesthetic & Sedation

‘Revolutionising Recovery’

Local Anaesthetic and Sedation

Why choose local anaesthetic and sedation?

The most commonly documented preoperative fear is of anaesthesia. The majority of cosmetic surgery at The Westbourne Centre is either carried out under local anaesthetic or a combination of local anaesthetic with sedation. This means that the recovery for patients from anaesthesia is rapid, meaning procedures that previously required a hospital stay overnight, can be carried out as a day case.

Local Anaesthetic and Sedation

How does it work?

Local anaesthetic is typically administered by injections via fine needles and renders an operative area free from pain. This is usually carried out by the surgeon. A mixture of short and long acting drugs are infiltrated directly into the tissues. Sometimes the major nerves supplying an area can be blocked with local anaesthetic so that large areas can be made numb. This is known as regional anaesthesia. These techniques provide analgesia both during the surgery and for the immediate postoperative period. This aids rapid recovery.

Local Anaesthetic and Sedation

Will I feel any pain?

Sedation is often used in conjunction with local anaesthesia to allow the patient to experience surgery without stress or pain. Agents such as Remifentanil and Propofol are used and are given directly into the patient’s veins. These are powerful analgesic (pain killing) and sedative drugs, but are very short acting. With the use of modern infusion pumps, small continuous doses can be delivered and their effects accurately controlled by our Consultant Anaesthetists.

Local Anaesthetic and Sedation


Patients usually prefer not to remember anything about their procedure, but for patients who do want recall, the sedation can be adjusted so that they are fully awake, but remain pain free. The major difference with general anaesthesia is that with local anaesthetic and sedation, patients breathe on their own and do not require intubation (a breathing tube placed in the airway to keep the lungs inflating). With local anaesthetic and sedation, there is a diminished incidence of nausea and vomiting, and recovery is more rapid. This in turn diminishes complications associated with slow postoperative recovery, such as deep vein thrombosis and pulmonary embolus.


The face is a delicate part of our body and one that reflects so much about who we are. Hiroshi enjoys working closely with his patients to ensure the end results meet their expectations.

Face Procedures


With every individual, Hiroshi strives to achieve the most natural-looking results and offers advanced surgical solutions, using the most technically advanced and reliable products.

Breast Procedures


Hiroshi believes that it is possible to achieve the aspirational characteristics of a flat tummy, round bottom, toned arms, and slim legs through safe surgical methods, conducted under local anaesthetic.

Body Procedures


Gynaecomastia is a cosmetic treatment to reduce the size of male breast tissue. Hiroshi performs the surgery under local anaesthetic & sedation as a day case.