"Twilight" anesthesia?

Is it common for a surgeon to use Twilight anesthesia? My surgeon is willing to do an "all in one" surgery instead of 2 phases (LBL, thighs, arms, butt aug, breast lift and Aug), is this considered safe? Did anyone have bad experiences (or good) you would like to share?  Thank you!

Many of the Mexico surgeons use twilight sedation but I haven't found one US doctor that would use twilight sedation for the extensive surgery you're describing.  

I had twilight sedation with Dr Sauceda.  It was wonderful for me.  Everything done at once and I wasn't sick for a week from anesthesia.  With the epidural it also helps to control the pain for 30+ hours.  Some folks wake up, and Mrs Dr S puts you right back out, I didn't wake up.  

IV sedation for those longer procedures would not be considered standard of care. Most (but not all) surgeons performing breast augmentation also feel sedation is problematic for implants placed under the muscle

Thank you. Why would it be problematic? 

I have also been reading about how some surgeons will use this method for multiple surgeries at once.

Can someone who had it done explain exactly what it is/how it works?

I have had general anesthesia before but never twilight or an epidural.

The epidural goes in your spine right? That scares me. Are you awake for that part? Or is there another drug they give you first to out you to sleep?

You get a pill for relaxation.  Walk to the OR and then you lay on your side and the epidural is inserted.  It's not big deal.  I have had it three times for my skin removal procedures.  I wake up rested and never have had any nausea or vomiting.

 Twilight anesthesia is where you are anesthetized to the point of being very drowsy, but can still respond to suggestions or commands. 

If the surgeon needs your physical co-operation at some point in the surgery, he/she will use that option. 

The advantage of twilight anesthesia is you are not rendered unconscious, so there is no risk of you not waking up. If you are on the verge of passing out, or conversely if you are feeling breakthrough pain, the anesthesiologist can dial it up or down as needed. 

There are several anesthetics that do this, a common one is a short acting benzodiazepine called midazolam. 

And no, you should not be in pain. You will be awake, but your senses will be severely obtunded.