has anyone had touch up lipo under local anesthetic ?

  • NewSelfNC
  • Winston Salem NC
  • 1 year ago

I am new to this forum! I had a full tummy tuck with lipo and muscle repair on Nov 19, 2012. I think my waistline is asymmetrical now and am going to ask my doctor about touching it up with lipo to the bulkier side.. But I really don't want to go through all that again! Is it possible to have a "little" lipo? ;)

Comments (17)

Sort by

How much can actually be taken off when doing touch up lipo. Im going ti have it done on my bra rolls?
Reply
I've read lots of comments (pros and cons) from others about their SmartLipo/liposuction procedures. Just to quickly answer your question about touch-ups done under local, the short answer is yes. I've seen posts from several cosmetic surgeons who do the lipo under local only along with the anti-anxiety meds the morning of. Dr. Asare in NYC is one that I'm familiar with. He actually won't do any procedures using general anesthesia. I wouldn't recommend allowing a surgeon to put you under for lipo - why take the risk of general anesthesia for something that local anesthesia is perfectly suited for? I wish you all the best with your touch ups, etc. I'm glad to read in your latest comment that the PS didn't put you under. It's safer that way! How are you doing since your Feb 20th last post?
Reply
Hi kimmyk2675, I agree that "touch up" lipo can and should be done under local but if you are saying any and all lipo procedures should only be done under local then I definitely do not agree. I have a handful of friends/family who have had lipo done on multiple area's of their body and they were most definitely put under. Too much lidocaine in your body is not safe and can actually kill you. As long as a board certified PS is doing the lipo in a surgical facility then I see nothing wrong with trusting them and their knowledge. I'm sure there are PS's that do it differently and have their own opinion on how it should be done depending on the amount of lipo that will be administered but recommending to never allow a PS to put someone under for lipo is a bit extreme. DR. Asare uses laser-assisted lipo which may be a better way to get lipo but not all certifed PS use that procedure and still have a safe outcome. Have you had lipo by Dr. Asare while under general? If so, I'd love to hear about it.
Reply
You're absolutely correct! I should have been more specific in my comments. Laser lipo (such as SmartLipo) doesn't require general anesthesia (and most PS's don't put patients under), but for other types of liposuction including power-assisted liposuction, general anesthesia seems to be the anesthesia of choice for PS's. Dr. Asare does both types of liposuction, according to his site, but much prefers doing SmartLipo using local from what he explained to me the last time I spoke with him. You're also correct in pointing out that my comment "recommending to never allow a PS to put someone under for lipo is a bit extreme." I should have specified that when local anesthesia is the recommended anesthesia for that type of lipo, I would not recommend going under general if a PS suggested it and it would put me at greater risk. Love your posts, by the way - looking forward to seeing more of your comments and reviews :)
Reply
Wow, thank you! I actually went for an appt yesterday and they offered to do touchup lipo with local anesthesia or just do coolsculpting...either way, it wouldn't be until May. I look forward to your update! ;)
Reply
I'm doing the exact same thing.. I had full tummy tuck January 2012 and then flank lipo in August. I have a little tough up still on one side that I'd like done. I'm talking about doing it under local in his office in may. Would love to hear.
Reply
I had the dog ears and touch up lipo done yesterday morning. I will walk you through my experience. Arrived and asked for a valium, waited for about 20-30 minutes for the valium to kick in, Dr came in and numbed the left and right side of my incision as well as my lower side of my stomach. This part required breathing and focusing on something other than the constant needle pokes. They were unpleasant but over fairly quickly. I then was given another 20 minutes or so for the numbness to kick in. My PS started by cutting the left dog ear and removing it and then came the lipo. I believe he went in through the left side of my incision where my dog ear was, he suctioned back and forth while pinching my belly together at each section he would suction. He pulled out the wand and emtied it of the fat and then went back in a 2nd time going back and forth. It didn't really hurt as much as it felt really strange. There was pressure here and there but nothing to bad. The whole thing only took less than 10 minutes. He then sewed up my left incision and moved onto the right dog ear. There were only 2 spots during the entire procedure where I could feel a little bit of what he was doing so he would stop and immediately numb that area and then proceed. I was sent home with pain meds and slept on my couch in an upward postion last night. I took my pain meds every 4 hrs yesterday and stopped as of this morning. It is painful, especially the first day and requires a couple days off work but its nothing compared to my actual TT. The lipo area is the only area that is really sore. I just move slowly and rest. I will update again after I'm healed. I will also post "after" pics on my profile. It wasn't the most pleasant experience but from the looks of it my stomach where he did the touch up lipo looks better as does my dog ears or lack there of. My stomach does get swollen though kind of like after I had my TT but it definitely looks flatter.
Reply
I had the dog ears and touch up lipo done yesterday morning. I will walk you through my experience. Arrived and asked for a valium, waited for about 20-30 minutes for the valium to kick in, Dr came in and numbed the left and right side of my incision as well as my lower side of my stomach. This part required breathing and focusing on something other than the constant needle pokes. They were unpleasant but over fairly quickly. I then was given another 20 minutes or so for the numbness to kick in. My PS started by cutting the left dog ear and removing it and then came the lipo. I believe he went in through the left side of my incision where my dog ear was, he suctioned back and forth while pinching my belly together at each section he would suction. He pulled out the wand and emtied it of the fat and then went back in a 2nd time going back and forth. It didn't really hurt as much as it felt really strange. There was pressure here and there but nothing to bad. The whole thing only took less than 10 minutes. He then sewed up my left incision and moved onto the right dog ear. There were only 2 spots during the entire procedure where I could feel a little bit of what he was doing so he would stop and immediately numb that area and then proceed. I was sent home with pain meds and slept on my couch in an upward postion last night. I took my pain meds every 4 hrs yesterday and stopped as of this morning. It is painful, especially the first day and requires a couple days off work but its nothing compared to my actual TT. The lipo area is the only area that is really sore. I just move slowly and rest. I will update again after I'm healed. I will also post "after" pics on my profile. It wasn't the most pleasant experience but from the looks of it my stomach where he did the touch up lipo looks better as does my dog ears or lack there of. My stomach does get swollen though kind of like after I had my TT but it definitely looks flatter.
Reply
Shazaam, thank you so much for sharing! Did you get to drive yourself, or did someone have to drive you? Do you have to wear a compression garment? I really appreciate you sharing your experience with me! I want to be evened up if necessary in a couple months, but my recovery from the tt was rough and I have five kids (3 are stepkids) from 8-17 at home, so dh is kinda burned out on me being in "recovery" mode! He is like...you look fine please don't redo anything! But if I thought I could drive myself and have a shorter recovery, I think he would be fine with it. Work isn't a problem...I could squeeze in several days off or even longer, really...I work part time most of the time...whatever my company needs.
Reply
Hello, My husband drove me because I took valium but if you did it without then you could probly drive. I was sore but I could have drove if I hadn't been on drugs. I only needed 3 days off work. I felt sore after but I was able to do my normal routine minus working out. You can walk but nothing else for 2 weeks. I am still sore where the lipo was done and have developed a nasty bruise but its nothing I've needed pain meds for. I only took them for 24 hours. No compression garment but was required although it wouldn't hurt. I wore a tight workout tanktop to keep it feeling tight and held in. I go back in 2 weeks for a checkup and to have the stitches removed I think??? They may be desolvable though. Either way I can't remove the steri strips until my check up but thats it. All in all its totally worth getting fixed and doesn't interfere with your life that much.
Reply
Thank you so much! I probably could do it without Valium...I am very calm about medical procedures and was aspirated three times with just numbing. I am a wimp about pain though...maybe I could get home before the numbness wore off! This is soooo helpful! I really appreciate it.
Reply
shazaam, how are you feeling this week? I feel better after hearing your experience! Kinda anxious for my next appt now!
Reply
I'm feeling good but the lipo'd area is still sore and developed an avacado size bruise and hard swollen lump a week after. From the sound of it this is normal. I'm going to get laser light therapy today at my chiro office and every couple days thereafter until it is better and/or gone. I also started massaging the area for a few minutes at night (in bed) and in ther morning (in the shower). It's been really swollen this week so I started wearing my spanx garment allday long which helps. I didn't expect such a long process for such a small touch up. I'm doing whatever I can to get it healed fast since I leave for Mexico in a few weeks. I could post pics so you can see what I'm talking about, I'll think about that ;) Last night when I went to bed it was large and swollen and then this mroning it was a lot smaller so it gets worse throughout the day as I'm on my feet and active. I stopped working out and won't until I hit the 2 week mark next Monday. I may have overdone it a bit the first few days thinking it wasn't as big of a deal as I should have. I worked out 3 times which was stupid, stupid, stupid!!! I'm sounding a bit dramatic and want to be clear that this has in no way interfered with my life besides having to stop working out for 2 weeks. It was worht it....or should I say. it will be once its healed. Its just annoying having to wait weeks or even months for final results again and I'm just a bit frustrated right now but it will all be fine. I'll update again in 1 week.
Reply
Thank you for sharing your experience with me! It is a frustrating process...I totally agree! Sending quick healing vibes!
Reply
Shazaam, hoe is the bruising now? I think you are two weeks out? Checking on you and hoping you feel great! :)
Reply
Hello, I had a full TT with MR and lipo in July 2012 and have 2 small dog ears as well as an uneven fat buldge on my lower left abdomen that needs correcting. I didn't really notice the excess fat until my PS pointed it out at my most recent check up. Now that he pointed it out, I definitely see the diff but I thought it was just minor swelling still from the TT. I had a hematoma on my left side so that side took a lot longer to heal. Anyway he said he's going to do a little liposuction in that area when he fixes my dog ears. I go in on Monday, Feb. 25th so I can update you after I'm done. You can see before pics on my realself page as well. I will add after pics after the area heals a bit.
Reply
BTW, I will not be put under during the corrections. It's an in office visit. I will be given valium and they will just numb the areas they tend to work on so its nothing compared to actually having the TT. I took 3 days off work for it because that's what my PS recommended. I will update you next Monday after I am done.
Reply