Safety of 'awake' lipo? Would it be safe to undergo 'awake' lipo on the calves and knees? What are the pros & cons of awake lipo

I find results to be better when people are asleep especially for the calves although for 8+ years I did it all awake, see the video I attached. get a formal consultation with an expert as this area for liposuction requires an expert and someone very experienced.
You need a formal evaluation by an expert in body shaping and contouring to determine what is best.  Traditional liposuction awake and smart liposuction are old methods and do very poorly for tightening skin or significant skin tightening or contouring.  Small problem areas can be improved slightly by these methods.  The best in body contouring not only removes fat with energy devices like VASER ultrasound but also internally heat the skin with radio-frequency devices such as J PLASMA/RENUVION, InMode BodyTite, ThermiRF to heat the under surface of the skin and tighten it at the same time as fat removal. These combinations are called 4D HIDEF VASER contouring and can only be done by a well . trained body contouring specialist. At the same time fat should be harvested, PRP and stem cells added and injected into muscles or indentations/cellulite to get body shaping and contouring.  This is known as a Brazilian butt lift when you inject the fat to the buttock for contouring and lifting, but fat can also be used in areas such as the chest/breast, arms/shoulders, calves and face.  Cellulite should also be treated with cellfina, sculptra, subcision and/or fillers such as bellafill, renuva synthetic fat, or sculptra.  If skin is very loose before surgery then it will need to be removed such as lower abdominal skin (tummy tuck/abdominoplasty), breast skin (breast lift), arm skin (brachioplasty).  Overall you need a full assessment, but simple liposuction alone will not tighten skin and needs a combination of various methods -- fat removal, skin tightening, defining, fat grafting, skin removal -- to get the best in body contouring and body sculpting.  Dr. Emer.

Hello, thank you for your question. Your issue is very common and can usually be treated as an outpatient with local anesthesia and oral sedation,  with very little time needed for recovery. You can drive yourself home. I recommend you to schedule a consultation with a board certified plastic surgeon for proper evaluation. 

Liposuction under just local anesthesia may be an option if the areas treated are smaller and very well-defined. When more fat needs to be removed from different areas with significant volume, IV sedation or general anesthesia  is a much better option for patient comfort and safety. Some doctors who are not board certified plastic surgery perfom  Liposuction without Anesthesia because their facility is not certified And local laws prohibit it. Consult with a board-certified plastic surgeon in your area to explore the best options for you.