Awake lipo: I was told that this procedure is pointless and sucks out no fat.

    Liposuction of smaller areas can certainly be performed under local.  For larger areas or for more removal, additional anesthetic options should be considered.

Liposuction under local is the only way to go. You get all the fat you want removed and it is done safely and you actually get a better result since your doc can stand you up and turn you in all positions for the best touching up results.