Liposuction Local anesthesia not possible? (Photo)

Question

1) I showed the attached pictures to a doctor and I was informed that - It is impossible to perform liposuction in local anesthesia correctly and that local anesthesia limits amount of work. In your opinion is it that the doctor is just being cautious or something else? 2) Based on my pics, do I need repair of first wall of abdominal muscles? (This was suggested to me based on my pics although pending personal consultation) Thankful for any expert opinion on the right procedure for me.

Gary M. Horndeski, MD · Answer

Local anesthesia can be used for small amounts of liposuction such as 1500 mL's. However, you will need more like a liter or more removed and you would not be a candidate for local anesthesia. You would benefit from a tummy tuck more than liposuction.

Best Wishes,

Gary Horndeski, M.D.

Best Wishes,

Gary Horndeski, M.D.

Daniel Barrett, MD · Answer

Dear richardrogers,
it is hard to tell for sure without an examination. If you are considering surgery, I would suggest you consult a board-certified plastic surgeon. Only after a thorough examination, you will get more information and recommendations.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Connie Hiers, MD, FACS · Answer

I have done liposuction under local anesthesia for several years and do most of my liposuction under local anesthesia.  If done properly, the same amount of fat can be removed under local anesthesia as under general anesthesia. However, some surgeons are not trained or experienced in doing awake (under local) liposuction and therefore are not comfortable in doing so.  Most men do not need their abdominal wall muscles repaired since they have never been pregnant. You may have some internal fat which will not be removed with liposuction.  Some patients have medical issues that may prevent them from doing awake liposuction in the office and need an anesthesiologist/anesthetist present.

Mats Hagstrom, MD (license on probation) · Answer

Different plastic surgeons will have different levels of comfort and experience doing procedures using local anesthesia. earlier in my career I would not attempt to do full abdominal or torso liposuction without general anesthesia. 10 years ago I began specializing exclusively in liposuction and fat transfer procedures and now do all of my liposuction regardless of area or amount with my patients awake using local anesthesia with mild sedation. without sufficient experience and attempt at doing the procedure using only local anesthesia could result in a non-tolerably painful experience that is undesirable.
If done by someone who has experience and routinely does awake liposuction it’s fine to do the procedure without general anesthesia. it simply depends which doctor and put their experience is.
In regards to your results you have a substantial amount of visceral fat and this will not be treated with Liposuction so your results will not look like when you suck in your abdomen. in your case you simply need to lose weight and that is the best and most appropriate option to get a better looking torso. Weight loss is primarily related to what, how and when we eat as well as obviously how much.
A 20 pound weight loss program will get you where you want to be.
Liposuction is unlikely to deliver the results you’re interested in.
Surgery cannot correct for excess visceral fat.
Weight loss is the only and most appropriate solution in your case.
Best,
Mats Hagstrom MD

Arian Mowlavi, MD, FACS (license on probation) · Answer

Based on your pictures, the decision on muscle repair vs lipo rests on careful in person examination.
then the question of lipo under local vs general anesthesia could be answered easily.

Liposuction Local anesthesia not possible? (Photo)

Answers (5)

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