Can a thigh lift with lipo-plasty be done under local??

A thighplasty generally, cannot be done under straight local anesthesia. I could imagine a situation where a very limited skin resection and liposuction could be done under local anesthesia with sedation. Overwhelmingly, most thighplasties need to be done under general anesthesia for the patient's comfort as well as to allow the surgeon to do a more aggressive resection, ultimately yielding a better result.

I appreciate your question.I typically perform these procedures under a type of anesthesia where you are not aware of whats going on, but you are breathing on your own.Its a lot to do this under local anesthesia and could be a very unpleasant experience for youThe best way to assess and give true advice would be an in-person exam.Please see a board-certified plastic surgeon that specializes in aesthetic and restorative plastic surgery.best of luck!Dr Schwartz

Because of the relatively large area to be treated and the anatomic positioning required to perform thigh lift, local anesthesia alone would almost always be inadequate.  This is especially true if any portion of the procedure requires positioning with the patient lying on their abdomen, where the airway can't be adequately controlled without general anesthesia.

I would say that the short answer is ...No.  Local anesthesia is just the injection of a chemical like "novacaine" into the area to be treated. Safety and patient comfort are out watchwords.  I would be concerned about the amount of local anesthetic needed for pain control...in a "local only" thigh lift...approaching toxic levels.My thigh reduction surgery is performed under TIVA anesthesia.  We use no anesthetic gas or paralytics.  The nurse-anesthetist or anesthesiologist sedates the patient, and uses some pain control drugs.  We also end with an EXPAREL injection --which is a local anesthetic that works for about three days.Gluteoplasty or posterior thigh lift is performed under general anesthesia.  With the patient prone, the airway must be controlled safely and an endotracheal tube is used.