I use general anesthesia for most larger cases. Local is appropriate for smaller areas.Kenneth Hughes, MDLos Angeles, CA
Tumescent liposuction can be done under local anesthesia (with mild oral sedation with Valium or a similar medication) or with twilight sedation (where you aren't completely under general anesthesia but have IV sedation) or with full general anesthesia.The amount of sedation depends on how many areas are being done, the patient's pain threshold, the patient's anxiety level, and the availability of different sedation options at the center where you are having the tumescent liposuction done. If you have multiple tattoos and have a good pain threshold, then mild oral sedation will be just fine for you; if you are really nervous about the procedure, then twilight sedation may be a good option for you.