Your Anaesthetic

For some people, the greatest concern when it comes to surgery can be the anaesthetic. This is probably because one of our greatest fears is to have no control while our lives are in the hands of others.

Gaining a better understanding of anaesthesia can alleviate these fears.



Anaesthesia Types

  • Local anaesthesia involves a small injection to numb the specific area that requires surgery. During local anaesthesia, you are awake and aware of surrounding activities. You will normally be able to eat and drink and mobilise soon after the operation. This type of anaesthesia is usually only suitable in selective cases.
  • General anaesthesia is used for more extensive operations. General anaesthesia gives you a restful sleep so that you are not aware of anything and you won't remember the procedure afterwards. Sleep is usually induced by a small injection into a vein in your hand. Drugs are also given to reduce pain after the surgery and to help prevent sickness.

When do I have to stop eating and drinking before Surgery?

  • Local Anaesthesia: There is no need to stop eating or drinking before surgery.
  • General Anaesthesia: We need an empty stomach to reduce the chance of being sick during the operation. To achieve this you need to stop eating 6 hours before your surgery, but you can have a small drink of clear fluid (water, cordial, black tea/coffee, no milk) up to 2 hours before your anaesthetic.


All general anaesthetics for Professor Fahmy’s patients in Chester, Cheshire and Wrexham, North Wales are administered by a consultant anaesthetist who is a fully qualified doctor and a Fellow of the Royal College of Anaesthetists with further specialist training in anaesthesia for cosmetic surgery. Your anaesthetist before the operation will review you and you may need some simple tests to check on any medical conditions that you may have.

Modern anaesthesia is very safe. Monitors will be used to measure your heart rate, blood pressure, ECG and oxygen levels and your anaesthetist and anaesthetic support staff will remain with you throughout the operation. The latest intravenous and inhalational dugs are used to ensure that you recover quickly and smoothly.

Common Worries

Do mention any fears you may have to your anaesthetist who will discuss the options available to you. Needle phobias can be accommodated by use of local anaesthetic cream applied to your skin so that you don’t feel the needle or occasionally breathing anaesthetic gases can be used to induce sleep. Modern, light, see-through masks are now used to give oxygen, when necessary, minimising claustrophobia.

Cosmetic surgery procedures do not result in much pain as most of the work only involves superficial tissues. A variety of pain relieving drugs will be given to you during the operation and will be available, should you need them again, after the surgery.


You will wake up very soon after the end of the operation in the recovery bay. We will ensure that you are warm and comfortable before you return to the ward. Even though you may feel fine soon after your anaesthetic, we advise that you do not drink alcohol, drive, operate machinery or sign legal documents for the first 24 hours.

Side Effects

By using the latest techniques and equipment, side effects are luckily quite rare. Nausea used to be a problem with general anaesthetics but can be minimised by giving anti-sickness drugs. The anaesthetic gases can cause a dry mouth or sore throat but these soon resolve once eating and drinking is resumed soon after the operation. The Royal College of Anaesthetists website (see below) has more information on rare complications.

Further Information

More information is available from the patients’ section of the Royal College of Anaesthetists website:

The information provided gives you a basic understanding of your anaesthetic but it may not answer all your questions, a lot depends on your individual circumstances. This website provides guidance and is not intended to be a substitute for a surgical consultation with Professor Fahmy in Shropshire, Chester, Cheshire or Wrexham, North Wales and Mid Wales.

For any enquiries, you can email Professor Fahmy on . Your consultation will be directly with Professor Fahmy and the treatment will be performed by himself at the hospital of your choice either Pulford Medical Centre, Chester (Cheshire) or Spire Yale Hospital, Wrexham (Wales).