Awake Liposuction: What to Know About Lipo Without General Anesthesia

Cosmetic surgeon performing liposuction surgery

Liposuction is known for its safe, consistent, and permanent fat removal results. It has long been the go-to body contouring procedure to refine and enhance nearly every part of the body. But did you know that “awake liposuction” is quickly becoming the preferred technique by many patients to target unwanted fat? 

Liposuction is one of my favorite body contouring procedures to perform, and here, I share what you need to know about the “awake” technique.

What makes “awake” liposuction different?

For all tumescent liposuction techniques, the process begins with injecting a solution—which contains a strong anesthetic like lidocaine—into the targeted fat tissue. The numbing fluid suspends fat cells for faster, easier removal.

The “awake” liposuction technique is different in that it uses a high concentration of numbing medicine, allowing patients to remain conscious and comfortable throughout the procedure. In contrast, traditional liposuction techniques are usually performed under general anesthesia, meaning patients are put to sleep for the procedure and thus have a longer recovery period and typically need to manage more side effects. 

Awake liposuction allows your surgeon to “sculpt” curves in real time since you will be able to change positions fluidly.

The advantages of staying awake

Aside from avoiding the side effects, downtime, and potential risks associated with general anesthesia, patients have the ability to change positions fluidly during the procedure. This dynamic movement allows me to sculpt the body in real time, enhancing natural shadows and curves; achieving these results can be more challenging when you are under general anesthesia.

In this video, Dr. Sobel explains the “awake” liposuction procedure, its advantages, and who may be a good candidate for this technique.

Is “awake” liposuction safe?

Safety is a top priority in any surgical procedure, and “awake” liposuction is no exception. Because this technique does not require you to be put to sleep, general anesthesia risks such as allergic reactions, breathing problems, or other complications are not a concern, making “awake” lipo technically safer for the right patient. The numbing fluid also has antibacterial properties to further reduce infection risks. 

Patient comfort and procedure day experience

My goal is to make sure my patients feel safe, and depending on their personal preferences, I’ll explain as much or as little as they want. I have some patients who feel more secure with a play-by-play of everything I’m doing, and others are more comfortable with a nurse’s hand to hold and the assurance that everything is going well. Whatever you need from me and my Seattle cosmetic surgery team is what we will provide. 

While liposuction is surgery and should be approached with meticulous care, your surgery day is also cause for a joyous celebration! It’s when I have the honor of bringing your aesthetic vision to life and helping you feel more confident in your body. And for those who need a little extra support, we always offer anti-anxiety medication so you can enjoy your day. 

Ideal candidates for “awake” liposuction

The ideal candidate for “awake” liposuction is someone with a lower body fat percentage seeking advanced body contouring. I can determine if this technique can safely and comfortably achieve the results you are looking for during a one-on-one consultation. 

What you can expect during “awake” liposuction

Before starting your procedure, I’ll outline the treatment area to guide me as I sculpt your new contours. Once you are completely numb, I’ll begin removing precise amounts of fat and, depending on the location, help you change positions to remove fat deposits to enhance your unique anatomy. At no point will you be required to view the procedure; we can use modesty drapes for privacy, or you can close your eyes. You’ll be able to talk to me and my wonderful surgical staff throughout the entire process.


Take the next step in achieving your body contouring goals

If you want to redefine your physique without general anesthesia, “awake” liposuction may be just the technique for you. We invite you to schedule a consultation with body contouring expert and triple board-certified cosmetic surgeon Dr. Alex Sobel at our Bellevue cosmetic surgery practice to discuss if this technique can benefit you. Please call Anderson Sobel Cosmetic Surgery at 425-453-9060 or contact us online. We look forward to learning how we can best support you!

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