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Most of my procedures are done without general anesthesia. We give oral sedation to get patients comfortable and gently place the numbing fluid under the skin into the treated area. There is a lot of finesse to this and you need special equipment but you can safely predictable and easily do any liposuction case as well or better this way. See my link for how it all works
Liposuction can be done very effectively using tumescent anesthesia - which is essentially very dilute local anesthetic (Lidocaine) that is used to render your tissues 'numb' prior to fat removal. A but of oral sedation (Xanax) is helpful, in my experience.
Limited liposuction can be done under local anesthesia. The injection of the local anesthesia will hurt. In addition, the local anesthesia will not prevent you from feeling some pain during the procedure. I do not use local exclusively unless a small area of liposuction is planned. Local anesthesia does not require intubation.You do not want to be in pain during the procedure so that the surgeon must stop the procedure or do less than what is necessary. For this reason, general is a better option for my patients.
Liposuction should rarely ever be done under general anesthesia now a days and should only be done under tum. local with or without a little iv sedation for comfort. You want to be awake and comfortable so you can turn in all positions and even stand up for the doc to fine tune to results right there.
Dear threeshortz,liposuction of small areas can be performed under local anesthesia. If you are considering a surgery, I would suggest you to consult a board-certified plastic surgeon. Only after a thorough examination you will get more information and recommendations.Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery