Is liposuction with local anesthesia safe for someone with low blood pressure (POTS)?

Limited liposuction can be done under local anesthesia. You do not want to be in pain during the procedure so that the surgeon must stop the procedure or do less than what is necessary. For this reason, general is a better option for my patients. I do not use local exclusively unless a small area of liposuction is planned.  Obtain clearance from your PCP to have the lipo so that your PS is informed of your POTS. The surgical staff needs to know beforehand of possible lightheadedness, trouble thinking, blurred vision or weakness.

Hello,Liposuction under local anesthesia is safe for individuals who are healthy and of a normal BMI, when performed by an experienced, board certified plastic surgeon. "Normal" blood pressure can vary among healthy individuals. As as long as your medical doctor has evaluated you thoroughly, and has not discovered any medical contraindications, you may proceed with surgery.In cases of large volume liposuction, fluid shifts are accounted for with careful and planned fluid replacement in the form of IV hydration. These cases typically require general anesthesia and monitoring to ensure the maintenance of baseline blood pressure. Warm regards,Dr. Pedy Ganchi                                                                                                                                          Village Plastic Surgery

you would need medical clearance I do this for all cases including local anesthesia but yes if medically healthy then you should be fine.
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.