Will I be able to request IV anesthesia instead of gas inhalation for my liposuction?

Question

Hello, I will be getting liposuction and skin excision to my arms and wanted to know if I’m able to request IV anesthesia (TIVA) instead of gas inhalation. Gas makes me sick and there’s a higher risk for urine retention as well as a longer recovery with gas. I did ask my surgeon and she said she’ll let it up to the anesthesiologist. I’m nervous the anesthesiologist will say no. My recovery with IV anesthesia in the past has always been smooth, but gas was rough. Thank you!

Jose Telich, MD · Answer

Yes, it is often possible to request IV anesthesia, also known as Total Intravenous Anesthesia (TIVA), for your procedure. TIVA uses IV medications like propofol and avoids gas inhalation, which can minimize nausea, vomiting, and other side effects you’ve experienced in the past. However, the final decision depends on your surgeon, the anesthesiologist, and the specifics of your procedure.

For liposuction and skin excision, TIVA can be a suitable option, but it’s essential that the anesthesiologist evaluates your health and the procedure's complexity to ensure safety. Discuss your concerns thoroughly during your preoperative consultation. Share your previous experiences and request that the anesthesiologist review your anesthesia preferences in advance. With clear communication, they can likely tailor an approach to optimize your comfort and safety.

Emmanuel De La Cruz, MD · Answer

Yes, you can certainly discuss your preferences for anesthesia with your surgeon or healthcare provider before your liposuction procedure. IV (intravenous) anesthesia and gas inhalation (such as nitrous oxide or sevoflurane) are both commonly used methods for anesthesia during liposuction, and the choice between them can depend on various factors, including your medical history, the extent of the procedure, and your personal preferences.

If you prefer IV anesthesia over gas inhalation, you can express this preference to your healthcare provider during your pre-operative consultation. They will consider your preference along with other factors to determine the most appropriate anesthesia option for your specific case.

It's essential to have an open and honest discussion with your healthcare provider about your concerns, preferences, and any questions you may have regarding anesthesia or the procedure itself. They can provide you with more information and guidance to help you feel comfortable and informed before undergoing liposuction.

Tyler Frew, MD · Answer

Hi there,
Yes IV anesthesia is usually available. IT would be beneficial for you to call the anesthesia and discuss your case. All the best

Warren Schutte, MD · Answer

If this is a question that you want answered before the day of surgery, I would recommend that you request a phone conversation with the anesthesiologist prior to surgery. You will have less anxiety/apprehension if you know these answers ahead of time.

Rigo J. Mendoza, MD · Answer

Hi, that will really depend on your surgeon and/or the facility that you are having your liposuction done at.  We offer liposuction under local, with oral sedation in our office (the most popular option).  Also, we have a surgery center 1 block away that will do IV sedation or general anesthesia.

Connie Hiers, MD, FACS · Answer

Again, you will need to discuss this with the anesthesiologist who will be providing your care. It does not matter what anyone else says.

Camille Cash, MD · Answer

If you need to discuss specifics about anesthesia that your surgeon is unable to answer you may want to ask the anesthesia group to contact you prior to your procedure.  They will consider the planned procedure as well as your medical history to determine what is recommended for you.

Will I be able to request IV anesthesia instead of gas inhalation for my liposuction?

Answers (7)