Awake vs. Asleep Liposuction: Which One Is Right for You?
As liposuction season approaches and patients prepare for summer, a common question arises: Can liposuction be performed while awake, or is general anesthesia required? The answer depends on the treatment area, the amount of fat being removed, and state regulations.
When Can Liposuction Be Performed Awake?
For small areas, awake liposuction is an option and can even have some advantages. Ideal areas include:
- Underarm (anterior axilla)
- Inner thighs
- Outer thighs
- Knees
Benefits of Awake Liposuction:
- Patients can stand during the procedure to assess contouring.
- No need for general anesthesia, reducing recovery time.
- Less invasive for small, targeted fat removal.
When Is General Anesthesia Recommended?
For larger areas, such as the abdomen, general anesthesia is the preferred approach. Reasons include:
Faster Procedure – Awake liposuction requires longer waiting times to ensure proper numbing.
More Aggressive Fat Removal – Under anesthesia, the surgeon can remove fat more efficiently and precisely.
State Law Restrictions – In Maryland, state regulations prohibit removing more than one liter of fat (about two standard water bottles) under local anesthesia. If more fat needs to be removed, the procedure must be done under general anesthesia.
Which Option Is Best for You?
The best approach depends on your treatment goals, the areas being addressed, and your comfort level. During your consultation, one of our plastic surgeons will recommend the safest and most effective method for achieving your desired results.
For more information on awake vs. asleep liposuction, schedule a consultation at the Plastic Surgery Institute of Washington today.
