What would be the best procedure for removing thigh fat without general anesthesia? (Photo)

You can remove excess thigh fat with awake liposuction. This is done in the office under local anesthesia with oral medication. It provides a very safe choice for surgery with less medication in your system and no general anesthesia. You can also choose to have surgery done with local anesthesia and IV sedation. I would suggest meeting with a board certified plastic surgeon and discussing your concerns and options.

if you have sagging you may also need thigh lifting which cannot be done under local anesthesia but local liposuction can along with internal heating. you may also have Lipedema that would need to be addressed with hormonal therapy (see link) and proper treatment long term.

my whole practice is doing thigh liposuction and skin removal if needed, or at least liposuction with internal heating (which is not the gold standard for skin tightening with body contouring).

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.

Liposuction is often performed under local anesthesia although it takes longer and you may have to have it done in stages. But it is perfectly acceptable.