ProNox®

Dr. Epstein has been a practicing surgeon since 1984. In 30+ years of clinical practice, a lot has changed. One of the aspects of our practice that we are most proud of is our position at the forefront of medical technology. In addition to offering a selection of services, both surgical and non-surgical, to help patients of our Stony Brook, NY office feel their best, we have also maintained a strong dedication to patient-centered care. An example of this commitment is our use of PRO-NOX™ Nitrous Oxide Delivery System.

What is ProNox®?

ProNox® is an innovative analgesia system that involves the use of a patient-controlled, 50/50 combination of nitrous oxide and oxygen to minimize anxiety and discomfort from a procedure under local anesthesia. Nitrous oxide is a well-known sedative (once called laughing gas) that calms the central nervous system, allowing patients to feel comfortable during necessary or elective procedures.

What is ProNox® used for?

The combined use of nitrous oxide and oxygen is not new to medicine. This method of mild sedation has been used around the world for more than a century. Most recently, the use of nitrous oxide and O2 has been recognized as a common way to manage dental anxiety during routine, restorative, and cosmetic procedures. Historically, this sedation method has been used in labor and delivery, during stem-cell therapy and cosmetic treatments such as microneedling with PRP, and even during surgical procedures such as breast augmentation and tummy tuck surgery.

How is ProNox® administered?

Here is one of the reasons why ProNox® is so appealing, and why a large majority of our patients request this service: the controlled sedative effects are in the hands of the patient – literally. This aspect alone, regardless of the proven effects of nitrous oxide, have a calming effect on patients who may feel nervous about their treatment.

Will I feel anything during the procedure?

ProNox® is not a replacement for a local anesthetic, although nitrous oxide does have an analgesic effect. What happens during the time when a patient uses the ProNox® system is that the central nervous system slows down in terms of responsiveness. A natural byproduct of this is the enhancement of other pain medications. Patient comfort is a high priority to us, and we have elected to incorporate ProNox® as a way to complement the effects of local anesthetic such as lidocaine for surgical and non-surgical procedures. Because nitrous oxide does not put a patient “to sleep,” like general anesthesia does, communication between patient and staff can provide consistent feedback to manage comfort levels.

Why should I choose ProNox® for my procedure?

ProNox® has become one of our most requested adjunct services. Patients each have personal reasons for desiring sedation in addition to local anesthetic, but most relate to the desire for maximum comfort on the journey to a better face or body. Physical discomfort is only one aspect of cosmetic treatments. It is also common for patients to experience psychological stress, regardless of their excitement about achieving aesthetic goals. ProNox®, in its delivery of nitrous oxide, puts a substantial degree of this matter into the patient’s own hands.

If you have a sense of anxiety coinciding with your excitement about an upcoming cosmetic procedure, or you have been procrastinating in taking that final step to feel like your best self, ProNox® may be the catalyst that helps you make your move. Contact our office to learn more about how this analgesic system can help you.

Are there any risks or side effects?

The ProNox® system is based on a long-history of success using nitrous oxide as a calming agent and analgesic. Nitrous oxide has been safely used for more than a century in dermatologic, surgical, and dental settings. Historically, clinical staff has been in control of dosing and administration of this mild sedative. What ProNox® does is give you control. This is made possible by internal safety mechanisms such as, infection control via a one-way delivery valve and automatic shut-off if either nitrous oxide or oxygen levels in the machine become too low.

Nitrous oxide is one of the oldest and safest forms of sedation to be used in clinical settings. In comparison to oral and IV sedatives, the advantage of nitrous oxide is that the calming effects occur rapidly and dissipate within about 5 minutes after the completion of treatment. Due to this fast-action, patients need not arrive for appointments early nor are they required to arrange transportation to and from their appointments. Once the effects of nitrous oxide wear off, normal activities can be resumed. In cases where the specific procedure would not preclude driving, patients using ProNox® can drive home after their treatment.

Watch Dr. Epstein discuss Procedures done under ProNox®

Discover the value of nitrous oxide sedation for cosmetic treatments. Call 631-689-1100 for personal assistance.

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Epstein Plastic Surgery
2500 Nesconset Hwy, #8A
Stony Brook, NY 11790