Liposuction under local anesthesia, is this an option?

Liposuction can be performed under general, MAC, or local anesthesia. The choice is based upon the procedure, patient, facility and surgeon preference.Liposuction can safely be performed under tumescent anesthesia alone. There are, however, limits to what can be accomplished. There is a max dose of tumescent for every patient (based upon weight). When a patient is awake, in order to ensure maximal comfort, the tumescent must be concentrated into a smaller area. This limits the amount of work which can be done.MAC and General anesthesia affords a greater margin of error allowing the tumescent to be spread over a wider area or multiple areas.Surgeons will have their preferences, larger cases may demand a higher level of anesthesia, and not all facilities are capable of delivering every level of anesthesia. All of these factors play a role.As always, discuss your concerns with a board certified plastic surgeon (ABPS).

Check out this video!!!where I explain that liposuction can be done under local anesthesia.You don't have to be put asleep if you don't want too.

Tumescent Liposuction without general anesthesia or IV sedation is the safest option. True tumescent liposuction involves injection of large volumes (1-2 liters per area, up to 4-5 liters in a large abdomen) of dilute local anesthetic solution into the targeted area, while the patient is awake. The patient may receive an oral sedative to take the edge off their nerves, but IV or IM sedation is not usually given.  Additionally, in true tumescent liposuction, multiple very small 1-2 mm adits (incisions) are made and used for liposuction using micro-cannulas. Multiple small tunnels of fat are removed from several different incisions, making it easier to get smoother results. These cannula incisions are left open so the tumescent fluid drains out over the next couple days (up to about 6 days a larger patient that received greater volumes of local anesthesia). Once healed, the incisions are virtually invisible on most skin types. The procedure is limited to one-three areas in a surgical day, as there is a maximum safe dosage of tumescent lidocaine that may be injected. For several reasons, the risks of complications with true tumescent liposuction is greatly reduced. IV sedation and general anesthesia have inherent associated risks. With true tumescent liposuction, because there is a maximum amount of tumescent lidocaine that can be safely given, surgical trauma is self-limiting, and problems with DIC (inability to clot) are not seen. Bruising and soreness are minimized, as are complications with deep vein thrombosis or infection. Tumescent liposuction with general anesthesia, in an attempted to increase the number of liposuction areas or to increase the number of procedures (as in liposuction, breast augmentation and face lift) performed at one time, can result in complications and death, and certainly one can have a reaction to the medications used in either general anesthesia or IV sedation. “Normal” liposuction often involves general anesthesia. Most surgeons do inject a solution containing, at minimum, some epinephrine so as to minimize bleeding. Usually, the insertion sites are limited to just a few larger incisions, and the cannulas are much larger, resulting in larger tunnels of fat removal, and an increased risk of irregularities. Postoperative garments must often be worn up to 6 weeks.  Patients are able to return to normal activities and exercise more quickly following tumescent liposuction.