PSC Media Wire

Local-only liposuction? It depends on what is getting lipo’d…

Local-only liposuction? It depends on what is getting lipo’d…

The success of liposuction has been well-documented for decades, and while many board certified plastic surgeons favor one type of lipo over another, many times it has more to do with the location of the unwanted fat than it does which technology to use. The same difference of opinion holds true for the best manner of anesthesia that should be used during this fat-removal procedure: local vs. general anesthesia.

by John Hammarley

Location, Location, Location

General anesthesia involves infusing medication almost always directly into the veins that allow patients to sleep during surgery. Local anesthesia involves injecting numbing medicine directly into the area to be treated and waiting until it is completely numb before the treatment. Board certified plastic surgeons are trained in using both approaches in a variety of procedures, including liposuction. But when asked which method they prefer, they often sound more like real estate agents who stress. “Location, location, location.”

“Their abdomen, both upper and lower, is an appropriate area to do under local,” says board certified plastic surgeon Dr. Sean Doherty of Concord, MA. “But if someone has an extremely large abdomen, and a large waist, I’d be reluctant to use local only.”

Dr. Doherty also warns that previous experiences with anesthesia, especially with dental procedures, can be a strong clue about what anesthesia road to take. “If they tell me it takes a lot of local to get to a point they can work on their teeth, they probably aren’t going to be good prospects for local-only liposuction.”

945395177001_5117252184001_5117249151001-00_00_25_06-still001

Patient Safety and Comfort are the Ultimate Decision Makers

Despite popular media and marketing strategies by some plastic surgeons who promote local-only lipo, many of their board certified colleagues say the most important factors to consider is the final result, patient safety, and comfort during liposuction.

“Our society has moved into the trend of minimally invasive, less anesthesia as always being a good thing,” says Dr. Steven Camp, MD, a Ft. Worth-based board certified plastic surgeon. “And really what should be the focus is the quality of the result of the surgery and the safety of the patient and their overall experience.”

945395177001_5117252184001_5117249151001-00_00_47_08-still002

“In my training, we were taught that bigger liposuction cases were always done under general anesthesia,” said Dallas-based board certified plastic surgeon Dr. William P. Adams, Jr. “I think it’s more comfortable for the patient and in many ways its safer because with bigger areas you’re working on it becomes harder and harder to anesthetize the patient.”

Short-term Benefits vs. Long-term Results

Another part of the balancing act of deciding what type of anesthesia to use for lipo is to keep the patient’s immediate comfort during the procedure in mind, as well as whether he or she will be happy with the results months, if not years, later. Many surgeons interviewed by The Plastic Surgery Channel say for those two reasons alone, they favor general anesthesia. Patients are more comfortable under general and surgeons say they can control the environment and get more aggressive in their fat retrieval if the patient is not just locally anesthetized.

Click to add a comment

Leave a Reply

Your email address will not be published. Required fields are marked *

PSC Media Wire

More in PSC Media Wire

The SKINNY: Why Liposuction Works Great For Fit Bodies

The SKINNY: Why Liposuction Works Great For Fit Bodies

James D. Namnoum, MDAugust 8, 2017
With Breast Implant Related ALCL, Trust the Experts.

With Breast Implant Related ALCL, Trust the Experts

Charles Messa III, MDJuly 24, 2017
Plastic Surgery Surge: Beauty Business Sees Sharp Rise.

Plastic Surgery Surge: Beauty Business Sees Sharp Rise

Dawn TongishJuly 10, 2017
Can Cankles be Solved with Plastic Surgery?

Can Cankles be Solved with Plastic Surgery?

John HammarleyJune 22, 2017
Time for the summer body.

Getting Ready for Summer With Plastic Surgery

Dawn TongishJune 12, 2017
Why the round, 'baby face' look is in.

Why The Round, ‘Baby Face’ Look Is In

Dawn TongishMay 15, 2017
Is the selfie driving new plastic surgery?

Is the Selfie Driving New Plastic Surgery?

Dawn TongishMay 8, 2017
Bras and breasts - millennials want a natural look.

Bras and Breasts – Millennials Want A Natural Look

Dawn TongishMay 2, 2017
Buying six-pack abs.

It’s Possible – Buying Six-Pack Abs

Dawn TongishApril 24, 2017