Liposuction Anesthesia

Liposuction Anesthesia

This is a very important topic. When people have any type of plastic surgery procedure, I believe they deserve to be as comfortable as possible. We want patients’ journey with us to be as luxurious as possible.

I am deeply involved with every aspect of the business. I care about each and every patients unique experience and I take their happiness personally because that matters.

Neinstein Plastic Surgery is the only specialized liposuction clinic in the country that offers this range of anesthesia. Not that any type of anesthesia is wrong or bad its simply that dermatologists, gynecologists, general surgeons, and all other types of physicians who perform liposuction but have no formal Plastic Surgery Training are unable to get surgical accreditation or board-certified anesthesiologists to work with them. National Chain Liposuction clinics are also unable to offer any anesthesia as the surgeries are performed in procedure rooms and not accredited operating rooms again by untrained and unsupervised physicians.

At Neinstein Plastic Surgery I have created an environment where we can offer every type of anesthesia possible for liposuction in a fully accredited operating room with Board- Certified Anesthesiologists that have been giving anesthesia to Plastic Surgery Patients for over 30 years.

Every patient is different, and every patient will get the type of anesthesia that best suits them.

I will discuss all aspects of the procedure and the types of anesthesia along with benefits and risks associated.

The goal of anesthesia is to make you comfortable and pain free during your procedure to ensure a speedy recovery

Types of Liposuction Anesthesia

Local Liposuction, Tumescent Liposuction & Awake Liposuction

All of these are different terms for the same thing. In this scenario we give oral medication, typically valium and Percocet 30 minutes before the procedure in order to make the patient feel very relaxed and to block pain from occurring. We then go into the accredited operating room and gently place the special numbing solution under the skin into the areas. The patient is monitored by the anesthesia machine but at no is their any type of breathing tube


  • Patients who are having a few areas being done (2-3 areas)
  • Patients who are looking for the fastest recovery possible


  • No risks associated with general anesthesia
  • Faster recovery

Down side

  • This type of anesthesia minimizes the amount of areas that can be treated as the amount of numbing medication in the numbing fluid is weight based. If the patients want multiple areas they wont have enough numbing medication to go around (they can have multiple local procedures or change to a deeper type of sedation)
  • Patients who are concerned or worried about any sensation from surgery are not candidates for local/awake surgery. It is important to voice this to Dr Neinstein so we may plan appropriately

“70% of my liposuction cases are done with local awake tumescent liposuction. After 1000 cases we have not had any negative patient experiences in the operating room. In fact, most enjoyed the procedure. I have heard awful stories from liposuction clinics and the problem was they did not have the proper anesthesia for the individual patient but they proceeded anyway as part of a larger corporate strategy.” -Dr. Neinstein

“ My practice has a very high percentage of men. Many more men choose deeper levels of sedation than women.” -Dr. Neinstien

IV Sedation or Twilight Anesthesia

This is by far the second most common type of anesthesia and is actually becoming more and more popular. In this scenario we bring in a board-certified anesthesiologist who gives intravenous medication (versed, fentanyl, propofol) to ensure you do not feel or remember anything. There is still no breathing tube and no machine is pumping your blood or anything like that.


  • Any patient may choose to have this for any case. Most commonly those having more than 3 areas of liposuction and patients who have some anxiety about being awake during a procedure


  • No awareness or memory of the procedure
  • Absolute safety from a board certified anesthesiologist


  • Increase in cost (approximately $600-2000) depending on length of procedure
  • Patients are drowsier and stay in our recovery room a little longer than patients who did not have twilight anesthesia

General Anesthesia

General anesthesia for liposuction is typically used in larger cases. Frequently many patients will choose to take a week or two off of work and treat all areas of concern. Many will add on other procedures such as breast surgery, arm lifts, tummy tucks, or thigh lifts. General anesthesia for liposuction involves having intravenous medication to ensure you are not aware and are unable to feel the procedure. There will typically also be airway support because surgery in these cases involve being on your stomach or face down for part of the procedure.


  • Patients having extensive and multiple different types of procedures


  • We are able to perform the spectrum of procedures you desire in one setting


  • There is increased risks associated with general anesthesia. While these risks are incredibly low we mitigate them anyways in every possible way. We reduce risks of blood-clots by using massage boots or sequential compression devices to keep blood flowing during surgery and use blood thinners as needed depending on the type of procedure and expected down time after surgery.