Percocet and Xanax for Smart Lipo? I recently went for a consultation for Smart Lipo for the thighs.

Question

I was told besides lidocaine, percocet and xanax are taken before the Smartlipo to put me at ease and for pain management. I thought a person is awake during Smartlipo doest those pills combination knock a person to sleep? Also I am VERY NERVOUS to take it will I feel or go into panic once ingested? Will I become dependent on these drugs after? I need honest feedback on this and are there other options besides taken those 2 drugs.

William J. Hall, MD · Answer

Hi Thunderthighs,
 Yes, there is typically a combination of three drugs given before local anesthesia liposuction. The drugs are as follows: Xanax, Lortab, and Zofran. The Xanax is given to help relax the patient, the Lortab is for pain, and Zofran is for nausea. The drugs aren't a high enough strength to knock a patient out, it generally just makes the patient very comfortable and relaxed throughout the procedure. Taking the medication once isn't enough to become dependent upon them, it generally happens over several months to several years with daily use. I wouldn't over think it too much, as you will just work yourself up over something so minor. Best of luck to you!

Mark Edward Hennessy, MD · Answer

I understand your concerns regarding addiction (given almost daily reports of  opioid addiction in the news). However, you do not have to worry: 1) the dosing of the medications is low 2)number of pills is limited to a low number 3)you have no prior history of addiction. This is an ideal combination of medications to help you relax and management the initial pinches and pressure associated with infusing the numbing medications under your skin. A few of my patients have briefly fallen asleep during Lipo, but they always wake up when it is time for them to roll onto their sides. You will walk out of the office after lipo under your own power. A friend/family member will have to drive you home. I recommend that you seek out a Cosmetic Surgeon whom offers cost effective liposuction.

Scott C. Lindsay, DO · Answer

Hello and thank you for your question.These medications are used to make  you feel more comfortable and at ease. You won't become dependent or have a  panic attack on them. It is a one time use. Contact your surgeon to discuss your concerns. Best of luck!

Harry T. Haramis, MD, FACS · Answer

If you are very nervous to be awake, this could limit your procedure and results.IV sedation (twilight) may be a better option and should be discussed with your plastic surgeon.

Jason Emer, MD · Answer

Awake liposuction for small areas can be performed using injectable and oral medications.  I suggest however seeing a full body contouring expert to get an even better outcome.  Smart lipo is also outdated and VASER + Jplasma/Renuvion/Inmode BodyTite do best. Best, Dr. Emer.

Percocet and Xanax for Smart Lipo? I recently went for a consultation for Smart Lipo for the thighs.

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Percocet and Xanax for Smart Lipo? I recently went for a consultation for Smart Lipo for the thighs.

Answers (10)

Answer: Smart Lipo- consider sedation instead of local only

Answer: Smart Lipo- consider sedation instead of local only

Answer: Awake Liposuction Versus HD LIPO / BBL / Fat Grafting / Internal Heating

Answer: Awake Liposuction Versus HD LIPO / BBL / Fat Grafting / Internal Heating

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Recommended reading

Everything you need to know about Smart Lipo

Our mission is to create a world where every investment in modern beauty is Worth It.