Top rated plastic surgeons only work with top rated anesthesiologists. Here’s what you need to know about anesthesia and our team of anesthesiologists.

Who administers the anesthetic?

Dr. Blanka Orloff is the Director of Anesthesiology at the Burbank Plastic Surgery Center. She is certified by the American Board of Anesthesiology. She received her medical degree from UCLA.  After medical school she completed her anesthesiology residency at the University of California at San Francisco, the highest-ranking program on the west coast. She is exceptionally trained with years of experience making people comfortable and safe during surgery. She is an esteemed member of the American Academy of Anti-Aging Medicine. She is well known and respected in her field.

Not all plastic surgeons utilize board certified anesthesiologists.

A Board-Certified Anesthesiologist is a fully licensed physician who has completed medical school, followed by a one-year internship and finally a rigorous 3-year residency in Anesthesiology.  They are well versed in providing safe and comfortable anesthesia during procedures and are trained to handle any issues that may arise. By contrast a licensed nurse or CRNA has completed a two to three-year nurse -anesthesia training program.  There is a difference.  We choose to only work with Board certified Anesthesiologists to provide the best care possible.


The type of anesthesia that you will need depends in large part on the kind of surgery you are having. With certain surgical procedures, general anesthesia may be the only way for the patient to be completely pain free during the procedure.

There are 4 Kinds of anesthesia utilized during plastic surgery procedures:


  1. Local Anesthesia

    Local anesthesia is used to prevent pain during smaller procedures. Local anesthetic medication is injected into the area of surgery. The local anesthetic numbs the area temporarily. This is what you experience when you go to the dentist. In some circumstances we may prescribe oral medications to make you more relaxed and comfortable.

  1. Intravenous Sedation

    Intravenous sedation is when potent medications are given through an IV to help prevent pain and anxiety associated with medical and surgical procedures. Frequently, sedation is used in conjunction with a local anesthetic to provide the most comfort.

  1. Regional Anesthesia

    Regional anesthesia is when an anesthetic is injected around larger nerves to anesthetize/numb a larger area or region for surgery. A common example of this is when an anesthesiologist performs a spinal anesthetic or epidural for a C-section by injecting anesthesia near the spinal nerves which essentially anesthetizes the lower half of your body.

  1. General Anesthesia

    General anesthesia is when the patient goes completely to sleep for surgery. In plastic surgery this is the most common anesthetic you will likely encounter.


Possible Side Effects

Every patient is different when it comes to experiencing any possible side effects from anesthesia. Some patients may experience nausea, vomiting, disorientation, fogginess, or muscle soreness. Most symptoms pass quickly and the patient will not be released to go home until it has been deemed safe to do so.

Leaving The Surgery Center

Patients, will only be discharged to a friend or family member who must drive them home. Any lingering symptoms typically clear up within 24 hours. From our top rated plastic surgeons to the friendly discharge staff that will walk you through your paperwork, the Burbank Plastic Surgery staff will ensure that each patient has a detailed recovery plan to help expedite the healing process.