Local or general anesthesia for Vaser?

Question

I had a fewconsultations for vaser. I am looking at 4 areas. My friend went to Columbia&they removed 10 l. One doctor said he would do the procedure under a local and IV with max of 4 l in session regardless of number of areas. The other said would need to do the procedure under general. He didn’t say number of litres but said he would take “it all”. I just want to remove as much as I am. Full tim working mom of 3. I can’t take time off to do this again. size 8 5’ 7” 160lb

George Marosan, MD · Answer

Thank you for your question. Based on your BMI of 25, you are a good candidate for body sculpting with the VASER. Without photos, no specific advice can be given. Forget how many "areas" to be done. When I do VASER Hi Def Liposculpting, I do not divide the body into artificial areas. This is an idea born and spread by chain liposuction mills so they can charge more. To get a harmonious, natural, athletic, hourglass figure, liposuction 360 degrees needs to be done on the torso. Often, I incorporate the arms and or thighs to match the created sculpted body. I trained with Dr. Alfredo Hoyos of Bogota, Colombia, the inventor of the VASER Hi Def Lipo (VHD). Regarding anesthesia, I do my surgeries under intravenous sedation and tumescent technique only, some do it under general. In both cases the patient is asleep and not aware of pain, but under general anesthesia the patient is also intubated (breathing tube in the throat) and paralyzed. Both are very acceptable, because it allows the surgeon to do sculpting both in the deep plane on the muscle fascia and also superficially right under the skin. This is the principle behind VHD. Both these areas are very painful under awake liposuction with tumescent solution only. If the surgeon has to rely on the patient's feed back of "ouch" to realize that he/she is not supposed to be there, than they should not do these advanced sculpting procedures.See a board certified plastic surgeon experienced in advanced body sculpting techniques for an in person consultation/evaluation. See attached web reference. Good luck.

Jed H. Horowitz, MD, FACS · Answer

Hello babybloomedVaser liposuction can be done in-office with local anesthesia or more commonly, I perform this procedure in an outpatient surgery center with either intravenous twilight anesthesia or a general anesthetic. Regardless of anesthesia, it is generally outpatient surgery with a short recovery at the surgery center before traveling home   or to a recovery facility.

Calvin Jung, MD · Answer

You will want to see a vaser HI DEF expert, the procedure under IV and GA can lead to the same results.  The question is the surgeon that you are seeking, you will want to make sure that they can give the hi definition results that you are requesting.  The down time should be no more than 3-4 days. You will feel sore after the procedure but should be able to execute everyday activities.Hope this helps!

Emmanuel De La Cruz, MD · Answer

Hello babybloomed, 
  
I appreciate your questions! Your current Body Mass Index (BMI) estimate of 25.1 is between the ideal range for a successful VASER Liposuction surgery and recovery. Typically, VASER Liposuction is performed under general anesthesia. Tumescent fluid is injected. This fluid contains anesthetic which helps with pain control during and after the surgery, and epinephrine, which minimizes blood loss. Tumescent fluid is also antibacterial, so there is less chance of infections. The surgeon selects the area to be treated (such as arms, back, abs and flanks) and uses the ultrasound-assisted device to liquefy the fat cells, leaving the surrounding nerves, blood vessels and connective tissue unaffected. The amount of fat that can be aspirated is limited by the amount of lidocaine present in the tumescent fluid that can be safely given. In states such as New York and Florida, there are limitations on how much fat can be aspirated (4 Liters). As short as one week after the surgery, patients can usually return to work and their normal daily life. After 2 weeks, they can resume exercise and physical activity. Patients are likely to be fully recovered from 6-8 weeks after VASER Liposuction. Consult with your plastic surgeon about your particular needs and cosmetic goals. Good luck and may God bless you! Dr. De La Cruz.

Jason Emer, MD · Answer

vaser should be done under general anesthesia, and 10 L at once is VERY dangerous.  the max is 5 L in the US and even that makes people feel very weak and iorn pills, IV hydration before and after surgery, as well as hyperbaric oxygen shoud all be done. I suggest weight loss first if you need significant contouring, try obalon ballon system to speed that up.  Best, Dr. Emer.

Local or general anesthesia for Vaser?

Answers (7)

Answer: VASER LIPOSUCTION DOWNTIME IS USUALLY 7 TO 9 DAYS.

Answer: VASER LIPOSUCTION DOWNTIME IS USUALLY 7 TO 9 DAYS.

Answer: VASER HI DEF 4D LIPO / 360 Degree Sculpture / Body Contouring / HD Sculpting With Fat Transfer and Tummy Tuck / Mommy Makeover

Answer: VASER HI DEF 4D LIPO / 360 Degree Sculpture / Body Contouring / HD Sculpting With Fat Transfer and Tummy Tuck / Mommy Makeover

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Everything you need to know about Vaser Liposuction

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Local or general anesthesia for Vaser?

Answers (7)

Answer: VASER LIPOSUCTION DOWNTIME IS USUALLY 7 TO 9 DAYS.

Answer: VASER LIPOSUCTION DOWNTIME IS USUALLY 7 TO 9 DAYS.

Answer: VASER HI DEF 4D LIPO / 360 Degree Sculpture / Body Contouring / HD Sculpting With Fat Transfer and Tummy Tuck / Mommy Makeover

Answer: VASER HI DEF 4D LIPO / 360 Degree Sculpture / Body Contouring / HD Sculpting With Fat Transfer and Tummy Tuck / Mommy Makeover

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Recommended reading

Everything you need to know about Vaser Liposuction

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