Tummy Tuck w/ lipo using IV sedation and a local?

Hello and thank you for your question.   In my practice I perform tummy tucks using general anesthesia with a board-certified MD anesthesiologist administering anesthesia.  I frequently perform muscle plication during this surgery and general anesthesia is needed for this.  A tummy tuck can be done through a low and short
incision, all completely below the bikini line. 
The belly button can be designed to look natural and have no scars on
the exterior.   Your muscles can also be
plicated resulting in a flat abdomen. 
Make sure you specifically look at before and after pictures of
real patients who have had this surgery performed by your surgeon and evaluate
their results.  
Best wishes and good luck.
Richard G. Reish, M.D.
Harvard-trained plastic surgeon

You should be monitored very closely during surgery by a board certified plastic surgeon, and board certified anesthesiologist so do not worry about waking up.  Although the TT can be performed under local anesthesia, this procedure can be extraordinarily painful for the patient.  The patient's pain threshold and anxiety level should be taken into consideration.  You want the most dramatic transformation possible, and you also 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.  If you move or tighten your abdominal muscles, you may compromise results.Kenneth Hughes, MD, Board Certified Plastic SurgeonLos Angeles, CA

I have only done this combination of procedures under general anesthesia. That being said, as my colleagues below have mentioned, it is possible to do this under IV sedation and local anesthesia safely and effectively. If your surgeon has performed this before, is comfortable with doing it through sedation, and most importantly is board certified or board eligible by the American Board of Plastic Surgery, then this should be a safe procedure. 
However, it is also important to inquire about the board certification of the anesthesiologist as well as the accreditation of the facility where the surgery is being performed. It should be an accredited outpatient surgical facility that is either part of a hospital, has AAAASF certification, be certified by the Joint Commission, AAAHC certified, or be certified by the state department of health you live in. 
The "local" that is typically used in liposuction procedures is called a tumescent fluid or wetting solution. It is a mixture of saline solution, a local anesthetic such as lidocaine or bupivicaine, and epinephrine to help limit blood loss.