Which Kind of Liposuction is Safest? I Just Want my Saddlebags Done?

Dr. Jeffrey Klein, a dermatologist, researched the metabolism of local anesthetic thoroughly and clincially, when discovering tumescent liposuction.  There can be interactions with current medications that you take, as well as sedation were it to be given to you.  I exclusively perform tumescent liposuction without sedation and this provides the greatest safety possible. There are risks with any surgery so discuss this with your surgeon. Then, whether the surgeon uses power liposuction, smart liposuction, ultrasonic liposuction vs. conventional microcannulae liposuction, the different procedures and the risks of contour irregularities and thermal injury must be reviewed.
 

You are smart to eliminate the docs who still do the old method of general anesthesia and traditional liposuction.  Pure local tumescent anesthesia with the micro canulas are the way to go when you want great results and the safest liposuction.  Board certified dermatologists are one of  the the groups  who will have the most experience in this technique and is so worth it .  Sincerely,

David Hansen,MD

The safest type of liposuction is the one performed by a board certified plastic surgeon at a fully accredited facility. Ultrasound, laser, or traditional liposuction will provide very similar results and are all safe and effective. Having the procedure under sedation and local anesthesia decreases some of the complications associated with general anesthesia.

You can certainly have liposuction under sedation with local anesthesia if you have concerns about general anesthesia.  The saddle bag area can easily be treated in this fashion.  I would recommend traditional liposuction (superwet technique). You can also have power-assisted liposuction, which just makes it easier on the surgeon, not you. It's important that the surgeon suctions relatively deep to avoid any contour irregularities (indentations/divots). The type of liposuction is not as important as the surgeon who is performing the procedure.  There are many great plastic surgeons in your area, meet with a few and ask to see as many before and after photos as possible.

Best wishes,

Dr.Bruno

I believe the safest kind of liposuction is done with local anesthesia. The published evidence in the medical literature is clear that liposuction is very safe when performed with local anesthesia. Here are the important points:The safe dose of lidocaine, the local anesthesia, is well established, and there is a wide margin between the safe dose and an overdose. An allergic reaction to lidocaine is so rare, that it's considered something that just doesn't happen.General anesthesia medications are associated with adverse events that aren't always predictable; patients do have unexpected adverse events that can be life-threatening.When a person is "out" under general anesthesia, they're unable to communicate with the surgeon if they're feeling something they shouldn't be feeling. For example, a patient who is "out" may not feel the surgeon straying from the fat space and invading a part of the body where the surgeon shouldn't be. Local anesthesia makes only the fat numb and comfortable, but not the other parts of the body; it's another safety feature.When an anesthesiologist is concerned about his wife undergoing general anesthesia, that's pretty telling.