Perforated organs possible after abdomen liposuction done under local anesthesia?

it is almost impossible to do this even with general anesthesia if doing tumesecent liposuction and using blunt tipped cannulas.  This was possible in the past when using sharp instruments and no fluid.  Best, dr. Emer.

Although extremely rare per formation of abdominal organs has certainly been reported. It is more common when liposuction is performed by untrained professionals, who luckily are generally prevented from performing liposuction in Ontario at this point. The type of anaesthesia you have doesn't really change the likelihood however it is much more likely to be noticed immediately if it did happen if you were awake. If this is a concern for you, make sure to have a discussion about it with your surgeon (NOT just the clinic's patient care coordinator) long before you proceed with any procedure and make sure you use a clinic where the surgeon is a Royal College certified plastic surgeon and someone who you will be able to meet before your procedure. Many clinics in the city dont actually allow you to meet your surgeon until the morning of surgery and you won't see them again after and these are the places where the complications typically take place. Hope that helps! 

It is extremely rare for a person to have a perforation of an organ during liposuction, but it has been reported.