Liposuction: Q&A

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Liposuction, Awake or Asleep?

Hi doctors, i'd just like to know, does it matter if i'm asleep or awake for the lipo? - will it affect my result? i'm having 5 areas done so i've been recomended to be asleep but i'm afraid that some fat may be missed as i won't be able to stand/sit up during the lipo, im also having hi def vaser done on my abs. (i've been reading so much and hear so many different opinions on google and would just like to know the honest truth).

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25 Doctor Answers | Asked by whatevergirl

Doctor Answers (25)
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Anesthesia for Liposuction

Thank you for your question. I agree with your surgeon and would recommend parenteral or IV sedation, at a minimum, for five areas of treatment. If you were having 1-2 areas treated, then local anesthesia would likely be adequate for you to be comfortable during the procedure. I would not worry about not being able to stand during the procedure. An experienced surgeon will be able to perform the procedure without you being able to stand, and if you needed a minor revision at a later time,... more

Large Volume Liposuction under General Anesthesia

Larger volume liposuction or liposuction of multiple areas performed with general anesthesia I feel allows me to get the best results. If a patient experiences pain or is uncomfortable, the surgery is made more difficult for the patient and the surgeon alike. In addition, when or if you are flipped to a prone position (on your stomach), having a secure airway is important. This is difficult to achieve with sedation and local. Every plastic... more

Awake or asleep for lipo

It can be done safely either way. Usually, we use general anesthesia for the larger lipo cases, and local / IV sedation for the smaller ones. There are pros and cons for both methods, but the results are comparable, and depend more on the surgeon's skill / proficiency rather than the type of anesthesia.

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Liposuction awake or asleep

Both are fine and depend on what your doctor prefers. I do smaller cases awake and larger cases asleep. I like the vaser system and think it can be done on awake or asleep patients. Good Luck!

Liposuction

With 5 areas planned for lipo, I usually use "twilight" sleep sedation and combine it with local anesthesia. The procedure does require sterile technique and once the patient is prepped with the surgical soap and sterile drapes are placed, position changes must be carefully done. I do not have the patients stand for this reason. I hope this information is helpful.

Liposuction awake vs. asleep?

Thanks for your question. I know how nerve racking it can be to some patients to have general anesthesia and go fully to sleep. However, general anesthesia is a very safe procedure (as long as you are a healthy person). It is very difficult to remove as much liposuction material on someone who is awake compared to someone who is asleep. You can't make the person as comfortable and therefore tend to not be nearly as aggressive with removal of the fat. Hope this... more

Type of Anesthesia during Liposuction

Liposuction can safely be performed either with general anesthesia (totally asleep) or with local anesthesia and sedation (not totally asleep). When large volumes or many areas of liposuction are to be performed, I find that it is more comfortable and safer to have my patients asleep. I personally do not find it helpful for patients to stand during the procedure. If I feel that I need the patient to sit for any reason to look at the areas, this can easily be... more

Anesthesia During Liposuction

This decision is best left to your surgeon and your anesthesiologist. However, I would say that in your case, five areas is a long time to lay on the table awake. Even the most quick and efficient surgeons cannot complete this in less than a few hours if they are thorough. I would recommend that if your'e going to have this many areas done you find someone who can take you to an outpatient surgery center for anesthesia. It doesn't mean you'll have to be completely asleep, you can be sedated... more

Awake for liposuction

The length of time doing the procedure for five areas; if these are true areas and not those called areas by some offices, would require that the procedure would be better done with intravenous sedation or a general anesthetic in my office. It is too long under just tumescent. I hear about complaints from patients from offices that do this regarding the very uncomfortable nature of these. There are also risks or lidocaine toxicity due to the need to use a more highly concentrated and and a... more

Liposuction

I generally prefer general anesthesia for all but the most minimal liposuction procedures. The reasons are simple: 1. It is difficult to adequately anesthetize large areas without sedation and there is a higher likelihood of patient movement and recollection of the procedure 2. It is difficult to be very aggressive with the suctioning process when you are concerned that the patient may begin to feel discomfort if the cannula enters an area not fully numbed, or if the patient may... more

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These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.