Liposuction under Local Anesthesia

Sean-Doherty-MD-Boston-amp-amp-amp-Concord-MA-Local-LipoLiposuction can be performed under general or local anesthesia. General Anesthesia involves patients going to sleep for their procedure. Local anesthesia involves patients taking both relaxing and pain pills and the doctor injecting numbing medicine directly into the area to be treated and waiting until it is completely numb before the treatment.  This numbing medicine is called Tumescent Fluid. This is a solution made of fluid called Lactated Ringer’s solution, lidocaine and epinephrine. This becomes a dilute solution of numbing medicine. The epinephrine helps decrease bruising and swelling. The risk of complications is greater with the use of general anesthesia. More patients are electing to have their procedures under local anesthesia. Liposuction of a few areas of the body at the same time is a very safe and it is appropriate to perform under local anesthesia at an accredited facility. Liposuction performed under general anesthesia requires a period of time for the patient to wake up and has longer patient recovery. When patients stay awake, they are more aware of their surrounding and are able to more quickly get back to their normal activities.

I have a low tolerance for pain.  Is it going to hurt if I’m not asleep?

Once the local anesthesia is injected, the patient feels little more than slight pressure, and most patients are comfortable enough to carry on a conversation or even nap during their treatment. The numbing medicine cane be temporarily achy there could be a sense of burning while it is being injected, but this is short lived. Patients are given pain and relaxing pills to make this initial phase more tolerable.

Will my plastic surgeon be able to fully treat the area under local anesthesia?

There is a limit to the amount of numbing medicine and the amount of fat removed when local anesthesia is used. These limitations are designed to ensure greater patient safety. Patient safety is primary. These restrictions, however, rarely affect the surgeon’s ability to achieve the desired results. The lower risk of complications and the easier and quicker post-procedure recovery give SIGNIFICANT advantage to the use of multi-layered local anesthesia. In pre-operative consultations, the surgeon and the patient discuss the patient’s need and the surgeon helps guide expectations and surgical planning.

How many areas can be treated at a time?

Multiple body areas are typically safe to treat at one time under local anesthesia. For patients with multiple larger areas to treat, procedures are staggered to get the best and safest results. A surgeon takes into account a patient’s body type, BMI, overall health and surgical expectations in planning surgery.  Call his Boston (617)450.0070 or Concord (978)369.4499 office to learn more today.