The only pain we see in our clinic, is during the numbing when the anesthestia is placed. In our office, Dr. Atkins who does our liposuction in this area, typically will give some oral medications as well prior to the procedure to diminish the discomfort.
Whether you have liposuction done under local anesthesia depends on the size of the areas that need to be treated and your tolerance to some injections. For touchups in limited areas, local or IV sedation may be just fine and good numbing of the treated areas can be obtained.
All we do is lipo under local anesthesia, and the pain is never bad. It can be uncomfortable during the infiltration of the numbing fluid, and, rarely, patients can feel an occasional twinge during the procedure.