General Anesthesia Necessary for Slim Lipo?

What are the advantages and disadvantages of general vs. local? I had a mini facelift, blepharoplasty, and lipo on ankles with local-no problem.My surgeon says he will only do Smart Lipo with general, idea of general is scary to me.

Doctor Answers (4)

SlimLipo local versus general anesthesia

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This is a great question.  Comfort is very important with any surgical procedure.  Local anesthesia can provide more than adequate pain control for most small scale procedures.  If you are considering multiple areas of treatment or high volume SlimLipo (or any other form of liposuction), then you may want to consider general anesthesia or conscious sedation.


Houston Plastic Surgeon
5.0 out of 5 stars 10 reviews

SlimLipo can be done under local anesthesia for small areas-General Anesthesia is more comfortable foe larger areas

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The decision whether to use local or General Anesthesia during SlimLipo, SmartLipo, Vaser Lipo or any form of Liposuction is based on your comfort.

Your surgeon evaluates the amount of work to be done and the amount of discomfort that you will experience.

It is true that a more thorough complete Liposuction can be done under General Anesthesia. Under local anesthesia as fat and the local anesthetic are removed by suctioning you can experience more discomfort.

SlimLipo, SmartLipo, Coolipo, Vaser Lipo and Ultrasound assisted Liposuction all add heat to dissolve the Fat.

The additional heat, while very  beneficial for fat removal and skin tightening can cause discomfort that is not well controlled by local anesthesia.

If you are healthy and in a hospital or facility that has board certified Anesthesiologists, modern General Anesthesia is safe.

Brooke R. Seckel, MD, FACS
Boston Plastic Surgeon
5.0 out of 5 stars 37 reviews

General Anesthesia for Slim Lipo

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Slim Lipo works great for either multiple small areas or a single larger area. If you have significant fat accumulation you may need to do only one area at a time. The advantage of general anesthesia is that the surgeon and patient can accomplish more fat removal over more areas if this is necessary. Obviously this varies from patient to patient and has to be tailored to your unique body anatomy. As Dr. Shafer mentions, local anesthesia works fine for smaller areas but there is only so much local that be used safely on a patient at one time. If lots of fat removal is necessary, general anesthesia is best.

Deason Dunagan, MD
Huntsville Plastic Surgeon
5.0 out of 5 stars 4 reviews

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General versus Local anesthesia

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Many procedures can be performed under local anesthesia.  In general, the smaller the procedure, the more likely it can be done under local.  This is because lower doses of anesthetic can be used and there is less discomfort for the patient.  For larger cases, general anesthesia may be best since it avoids discomfort and pain for the patient and allows more sophisticated monitoring of the patient.  SmartLipo can be performed under local or general anesthesia, but it depends on how much volume you are planning to have removed.  I hope this is helpful.

David Shafer, MD
New York Plastic Surgeon
5.0 out of 5 stars 57 reviews

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.